Itchy skin is not always the first symptom people associate with menopause, but for many women it is an unexpected and frustrating part of the transition. As oestrogen levels begin to decline, a number of changes take place throughout the body, including in the skin. While hot flushes and mood shifts tend to grab more attention, the feeling of persistent itchiness, dryness or sensitivity can quietly have just as much of an impact on quality of life.
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Why Skin Changes During Menopause
Oestrogen is a key hormone involved in maintaining skin health. It supports the production of collagen, natural oils and hyaluronic acid, all of which help to keep skin plump, firm and hydrated. As oestrogen levels fall during perimenopause and menopause, these supportive functions begin to slow down. The skin becomes thinner, loses moisture more quickly and is less efficient at repairing itself. This creates the perfect environment for dryness, flaking and irritation to occur.
Itchy skin, medically known as pruritus, is often a result of this dryness. When the outer layer of the skin is not properly hydrated, its protective barrier becomes compromised. This allows irritants to penetrate more easily and can make nerve endings in the skin more reactive. The result is that familiar, uncomfortable itching sensation, which may feel like it is under the skin and difficult to relieve with simple moisturisers.
Where Itchy Skin Appears During Menopause
Itchy skin during menopause can appear anywhere on the body, but it most commonly affects the arms, legs, chest, back and face. Some women also experience a sensation called formication, which feels like tiny insects crawling on the skin, even though nothing is there. This is usually due to changes in the nervous system linked to declining oestrogen levels.
The itch can be persistent or come and go, and it may become worse at night or during changes in temperature. For many women, the discomfort is accompanied by visibly dry skin, fine lines or rough patches. Others may find the skin looks unchanged, yet still feels uncomfortably itchy or sensitive to touch.
Is Itchy Skin a Common Menopause Symptom?
Although it is less talked about than other menopausal symptoms, itchy skin is relatively common. Many women experience it at some point during the perimenopausal years, and for some, it becomes a longer-term concern. The severity can range from mild and manageable to quite intense, particularly if it disrupts sleep or everyday comfort.
Because itchy skin can have many causes, including allergies, eczema, thyroid conditions or certain medications, it is important to rule out other health issues. If the itching is severe, widespread or not relieved by skincare, it is best to consult a GP for advice and to make sure there are no underlying concerns that need attention.
How to Manage Itchy Skin in Menopause
The first step in managing menopausal itch is to rehydrate and protect the skin barrier. Using a fragrance-free, rich moisturiser twice a day can help replenish moisture and soothe dryness. Look for ingredients such as ceramides, glycerin and hyaluronic acid, which help retain water in the skin and support its natural defences. Avoiding harsh soaps and long, hot showers is also recommended, as these can strip the skin of natural oils and worsen dryness.
Wearing breathable clothing made from natural fibres such as cotton can reduce friction and irritation. Keeping the bedroom cool at night may also help prevent overheating, which can trigger itchiness or discomfort for some women. Staying hydrated and eating a balanced diet rich in healthy fats, vitamins and antioxidants can support skin from within and promote healing and resilience.
If itchiness persists, a pharmacist or GP may suggest topical treatments or antihistamines. In some cases, HRT may help relieve itchy skin by restoring some hormonal balance and supporting collagen and moisture levels. However, this decision should be based on a broader review of menopause symptoms and overall health.
The Role of Collagen in Menopausal Skin Health
Collagen plays a central role in skin structure and comfort. During menopause, natural collagen production declines significantly, which affects not only the skin’s firmness but also its ability to stay hydrated and resist irritation. When collagen levels are low, the skin can become thinner and more prone to sensitivity, dryness and that characteristic itchy feeling.
Supporting collagen through diet and supplements may help improve the way skin feels and looks. Collagen supplements are broken down into small peptides that the body can absorb and use to help stimulate collagen production. This can lead to improvements in skin texture, hydration and overall resilience. While not a treatment for itchiness in itself, collagen may help reduce the vulnerability that leads to skin irritation in the first place.
Can Itchy Skin Improve After Menopause?
For some women, skin symptoms such as dryness and itchiness ease once hormonal fluctuations settle after menopause. For others, the changes in skin structure and function can become more permanent without ongoing support. This is why continuing with a good skincare routine and focusing on internal support such as hydration, nutrition and collagen supplementation can remain helpful well beyond the menopausal years.
Ageing skin has different needs, and responding to those with care and patience is often the best approach. Regular moisturising, avoiding triggers and using supportive products can make a noticeable difference to how the skin feels each day.
When to Seek Further Help
If menopausal itch becomes distressing, affects sleep or is accompanied by other symptoms such as swelling, rashes or pain, it is important to seek medical advice. A GP or dermatologist can help identify the cause and suggest treatment options that go beyond skincare. Never ignore changes in the skin that seem unusual or persist despite a good routine.
It is also perfectly reasonable to ask for help if you simply feel fed up with dry or uncomfortable skin. Menopause can be a challenging transition, and you do not need to tolerate symptoms that interfere with your wellbeing. Relief is often possible with the right combination of care, products and support.
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