Itchy Skin

Skin can become itchy and dry during menopause. There are ways to manage these symptoms, read our guide and find out.

Introduction

Itchy skin, or pruritus, is common due to declining oestrogen levels, which affect skin hydration and elasticity. Oestrogen supports collagen production and natural skin oils, so when levels decrease, the skin can become drier and more prone to itching.

Common areas include the face, neck, chest, arms, and back, although some women experience itching all over the body or in specific patches.

Symptoms of Itchy Skin During Menopause

  • Dryness – The skin may feel tight and appear flaky, particularly after bathing.
  • Itching – Often occurs in cycles, with some women experiencing more intense itching at night.
  • Sensitivity – Skin may become more sensitive to fabrics, soaps, and other environmental factors.
  • Redness or Rash – Scratching or dryness may lead to red patches or a mild rash.
  • Crawling sensation – Some women describe a feeling like insects crawling on their skin, often called formication.
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Why Does Itchy Skin Happen During Menopause?

The primary cause of itchy skin during menopause is lower oestrogen levels, which leads to a reduction in natural oils. Oestrogen stimulates the production of natural skin oils, which help maintain moisture. A drop in these oils can make the skin feel dry and itchy. Lower oestrogen also means less collagen, causing skin to thin and become more prone to irritation. Collagen provides structure and elasticity to the skin.

Menopause can also alter blood flow to the skin, which may exacerbate dryness and itching.

Itchy skin can begin as early as perimenopause and may continue into post-menopause, often following a fluctuating pattern. Some women experience only mild dryness, while others may have intense itching that disrupts daily activities and sleep. The intensity and frequency can vary, and common triggers include stress, changes in weather, and certain skincare products.

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What You Can Do to Ease Symptoms

Hydrate the Skin: Use a moisturizer twice daily, preferably one that’s unscented, hypoallergenic, and formulated for sensitive skin. Opt for creams or ointments over lotions, as they tend to be more moisturizing. Consider products containing hyaluronic acid, glycerin, or ceramides to boost hydration.

Gentle Skincare Routine: Avoid harsh soaps and opt for gentle, fragrance-free cleansers. Limit hot showers, as hot water can strip the skin of natural oils. Pat the skin dry and apply moisturizer while the skin is still slightly damp to lock in moisture.

Avoid Common Irritants; Avoid synthetic fabrics and choose natural fibers like cotton. Steer clear of perfumed or exfoliating products, which can aggravate sensitive skin. 

Stay Hydrated and Eat a Skin-Friendly Diet: Drink plenty of water throughout the day to keep your skin hydrated. A diet rich in omega-3 fatty acids (like salmon and walnuts) and antioxidants (found in berries, leafy greens) can help maintain skin health.

Over-the-Counter Relief: Anti-itch creams with ingredients like hydrocortisone can help relieve itchiness as can antihistamine tablets which can be effective for nighttime itching, though it’s best to consult a healthcare provider before using them regularly. Colloidal oatmeal baths or moisturizers can help calm itchy, dry skin.

Lifestyle Tips to Reduce Itchy Skin Symptoms

  • Manage Stress: High stress levels can worsen itchiness. Practices such as meditation, yoga, or deep breathing exercises can help.
  • Use a Humidifier: Especially in colder months, indoor heating can dry out the air, so adding a humidifier can help keep skin hydrated.
  • Avoid Tight Clothing: Opt for loose-fitting clothes that won’t rub against the skin.

Conclusion

Itchy skin is a common symptom during menopause due to hormonal changes, especially the decline in oestrogen. Symptoms can include dryness, flakiness, and persistent itching, often worsened by environmental factors and certain products. Staying hydrated, using gentle skincare products, and managing stress can help alleviate symptoms. For persistent cases, consult with a healthcare provider for additional options.

Itchy Skin FAQ's

For many women, itchy skin improves once their body adjusts to post-menopausal hormone levels. However, symptoms can persist, especially if skin care isn’t adapted to these hormonal changes. A healthy skincare routine can often help ease symptoms long-term.

Look for moisturizers that are fragrance-free and hypoallergenic, to reduce the chance of irritation. They should contain ingredients like hyaluronic acid, glycerin, or ceramides, which help lock in moisture.

Yes, stress can worsen itchy skin. When stressed, the body releases certain chemicals, such as histamines, which can trigger or intensify itching. Stress management techniques like meditation, yoga, or regular exercise may help reduce itchiness.

Yes, certain foods can support skin health such as Omega-3 fatty acids (found in fish, chia seeds, and walnuts) may help reduce inflammation. Antioxidant-rich foods like berries, leafy greens, and nuts protect skin health. Staying hydrated by drinking enough water daily can prevent skin dryness.

Yes, some medications, such as opioids, antibiotics, and diuretics, may cause itching as a side effect. If you suspect a medication is causing itchy skin, talk to your doctor. Never stop a prescribed medication without consulting a healthcare provider first.

Itching often worsens at night because the body’s natural circadian rhythms, which affect hormone levels and skin’s water retention. A drop in body temperature, which can sometimes trigger itching sensations.

Formication is the sensation of insects crawling on or under the skin, which can create a strong urge to scratch. It can be associated with menopause, stress, or certain medical conditions, and it’s often related to hormonal changes or nerve sensitivity.

Not necessarily. Itchy skin can result from dryness, irritation, or underlying conditions unrelated to allergies. However, if you notice itching along with hives, swelling, or after contact with a particular substance, an allergy might be the cause.