Perimenopause skin changes: what to know

You may notice dryness, tightness, itching, flushing, uneven tone, adult acne or skin that reacts more easily to products. These changes can appear alongside other transition symptoms, such as hot flushes, night sweats or irregular periods. Perimenopause is a common presentation of this group of hormone-related changes, but a new rash or persistent lesion can have another cause.

Lower oestrogen activity can affect the skin barrier and its ability to hold water. Fluctuating hormones may also influence oil glands, so dry cheeks and blemishes can occur together. Scratching, fragranced products, hot showers and harsh exfoliation can make irritation worse.

Use a gentle, fragrance-free cleanser and apply a plain moisturiser while skin is still slightly damp. Choose lukewarm rather than very hot water, avoid scrubbing, and introduce one new product at a time. If skin feels tight, a thicker cream or ointment may be more comfortable than a light lotion.

For breakouts, avoid squeezing spots and choose products labelled non-comedogenic. Protect exposed skin from sunlight with clothing and suitable sunscreen. Keep a brief record of triggers, products and cycle changes; it can help a clinician separate hormonal changes from contact irritation or another skin condition.

Arrange an assessment for a rash that spreads quickly, painful swelling, blisters, pus, fever, facial swelling or trouble breathing. Seek prompt care for a changing or bleeding mole, a sore that does not heal, or severe itching that disrupts sleep. A clinician can also review sudden, extensive acne or symptoms that persist despite gentle skin care.

Ask which ingredients suit your skin, whether a medicine could be causing the change, and whether your pattern fits perimenopause or needs a skin examination. Mention any cycle changes, new supplements, allergies and products used near the affected area.