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How perimenopause affects skin, hair, and your appearance

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Perimenopause
3
 minutes
February 28, 2025
Medically reviewed by: 

Perimenopause is often associated with hormonal changes and symptoms like hot flashes and mood swings, but many women are surprised to see how it also affects their skin, hair, and overall appearance. From fine lines to thinning hair, these changes can feel sudden and challenging.

In this blog, we’ll explore how skin changes during menopause and hair loss during perimenopause can impact your look, as well as actionable remedies for maintaining healthy skin, hair, and confidence.

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Understanding skin changes during menopause

Hormonal fluctuations during perimenopause, particularly declining estrogen levels, can lead to noticeable skin changes during menopause. Estrogen plays a key role in maintaining skin elasticity, hydration, and collagen production. When levels drop, the skin often becomes thinner, drier, and more prone to signs of aging.

Common issues include:

  • Perimenopause and skin aging: Fine lines, wrinkles, and sagging skin can develop due to reduced collagen and elastin.
  • Dryness and irritation: Lower estrogen levels can impair your skin's ability to retain moisture, leading to flakiness and discomfort.

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Menopause and dry skin remedies

Fortunately, there are several ways to combat the effects of perimenopause and skin aging and restore moisture and radiance to your skin.

  • Hydrate, inside and out
    • Drink plenty of water to keep your skin hydrated from within.
    • Use a moisturizer rich in hyaluronic acid, ceramides, or glycerin to lock in hydration.
  • Protect your skin
    • Always wear sunscreen with at least SPF 30 to shield your skin from UV damage, which can accelerate aging.
    • Opt for gentle, fragrance-free cleansers to avoid stripping your skin of natural oils.
  • Support collagen production
    • Incorporate products with retinoids (tretinoin), peptides, facial estriol, or vitamin C into your skincare routine to boost collagen and improve skin texture.

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Why hair loss during perimenopause happens

In addition to skin changes, many women experience hair loss during perimenopause or notice their hair becoming thinner and more brittle. Once again, this is tied to hormone fluctuations. Declining estrogen and progesterone levels can slow hair growth, while an increase in androgen hormones can cause hair to thin or fall out, especially around the crown and temples.

Other contributing factors include:

  • Increased stress levels
  • Nutritional deficiencies 
  • Scalp dryness, which can exacerbate hair breakage

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Tips to manage hair loss during perimenopause

While hair loss during perimenopause can be distressing, there are steps you can take to promote hair health and manage thinning:

  1. Prioritize scalp care
    • Use a gentle shampoo to avoid drying out your scalp.
    • Massage your scalp regularly to stimulate blood flow and encourage hair growth.
  2. Focus on nutrition
    • Eat a diet rich in protein, omega-3 fatty acids, and vitamins like biotin and zinc. These nutrients are essential for strong, healthy hair. 
    • Consider taking supplements specifically designed for hair health if your diet lacks key nutrients.
  3. Try volumizing treatments
    • Use thickening shampoos and conditioners to give your hair more body.
    • Talk to your doctor about topical treatments like minoxidil, which can help regrow thinning hair.

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Holistic solutions for appearance changes

The physical changes during perimenopause may go beyond skin and hair. You might notice puffiness, dark circles, or a general loss of "glow." Here are some holistic strategies to feel and look your best:

  • Adopt a balanced diet: Foods rich in antioxidants, healthy fats, and vitamins support both skin and hair health.
  • Exercise regularly: Physical activity promotes blood circulation, which helps nourish skin and hair while reducing stress.
  • Manage stress: Chronic stress can worsen skin and hair issues, so incorporate relaxation techniques like yoga or meditation into your routine.

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Embracing your changing appearance

Navigating skin changes during menopause, hair loss during perimenopause, and other physical transformations can feel overwhelming, but you don’t have to go through it alone.

By implementing these menopause and dry skin remedies and prioritizing self-care, you can maintain healthy skin and hair while embracing your natural beauty. Aging is a journey, and taking the time to care for your appearance can help you feel confident at every stage.

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