Menopause and eczema: The link and how to manage the condition

The link between menopause and eczema is there because of changes in oestrogen levels. The body produces less Oestrogen during menopause, which can lead to drier, thinner, more sensitive skin. Dry, sensitive skin can lead to the redness, itching and irritation of eczema flares.

Menopause weakens the skin’s protective barrier. This makes the skin more prone to eczema flares. You may notice more itching, redness and rough patches.

Understanding why the skin changes helps explain what’s happening. Understanding the link between menopause and eczema is step one to managing skin health.

Key takeaways

• Menopause can trigger or worsen eczema due to falling oestrogen levels.
• Moisturising regularly and using gentle skincare products help manage symptoms.
• Lifestyle changes like a balanced diet and stress reduction can improve skin health.

What is the link between menopause and eczema?

A 2022 study confirms that oestrogen is important for healthy skin. As oestrogen decreases during menopause, the skin often becomes:

• Drier
• Thinner
• More sensitive

These changes can make existing eczema worse. Symptoms may include red, itchy, irritated skin patches. A 2024 study reveals that more than 60% of women report skin problems during menopause.

Managing eczema during menopause

Hormone Replacement Therapy (HRT)

Hormone replacement therapy, or HRT, is often the first line of treatment. HRT replaces hormones like oestrogen and progesterone that decrease during menopause.

Oestrogen helps keep skin soft and hydrated. Restoring oestrogen with HRT can improve dry, itchy skin and ease eczema flares. It may reduce red, irritated patches and discomfort.

But HRT has risks and isn’t for every woman. Based on NICE guidelines, some of the possible risks include:

• A small increased risk of breast cancer (The average risk is 22 cases per 1,000 menopausal women, but with HRT, the number rises to 27. This number should get back to normal after five years from stopping taking HRT.)
• Blood clots
• Cardiovascular events (including heart disease and strokes)

Keep in mind that the risks and their probability differ based on the kind of HRT you use, with body-identical hormones being first-line options.

Talk to your doctor, who knows your health history. They can explain how HRT could help your menopausal symptoms and eczema versus potential risks.

Topical treatments

When dealing with eczema during menopause, creams, ointments, and lotions put directly on your skin can really help. For bad flare-ups, your doctor may suggest corticosteroids like Hydrocortisone. These are strong anti-inflammatory medicines that calm angry, red skin.

The NHS says that topical steroids are safe for most people when used correctly.

Here are some tips to get the most out of topical treatments:

• Apply to damp skin to lock in moisture
• Use just a thin layer - more is not always better
• Follow your doctor’s directions on how often to use them
• Don’t stop suddenly - gradually use less as your skin improves

While these can work great, they aren’t one-size-fits-all. What helps your friend may not help you. Be patient and work with your doctor to find the right treatment for your eczema during menopause.

Skincare routine

Caring for your skin daily is important when dealing with eczema during menopause. A good routine helps hydrate and protect your skin.

• Use moisturisers like Zeroveen Cream containing emollients every day. Emollients create a protective layer to seal in moisture. Apply right after bathing when the skin is still damp.
• Choose gentle, fragrance-free cleansers. Harsh soaps can worsen eczema. Look for “sensitive skin” or “soap-free” products.
• Avoid possible eczema triggers like strong scents, rough fabrics, and certain detergents. These can cause flare-ups.
• Take lukewarm, short showers. Hot water dries skin out. Gently pat dry and put on moisturiser within 3 minutes to lock in moisture.

Follow this routine daily, even when the skin looks clear. Regular care helps prevent flare-ups before they start. It’s easier than treating them later.

Lifestyle changes to help manage eczema during menopause

Diet and nutrition for skin health

Eating a balanced diet full of vitamins and minerals can help keep your skin in good shape. The Association of UK Dietitians recommend including:

• Fatty fish like salmon and mackerel for omega-3 fatty acids
• Colourful fruits and vegetables for antioxidants
• Nuts and seeds for vitamin E

Some foods may trigger eczema flares. Based on a 2016 study, common trouble foods are dairy, eggs, and wheat. Keep a food diary to look for links between your diet and skin reactions. If you see a pattern, try avoiding that food for a few weeks to see if it helps.

Maintaining a healthy lifestyle

Regular exercise helps manage menopausal symptoms and improves skin health. As covered in a 2024 study, it increases blood flow, which brings more nutrients to your skin. Aim for 30 minutes of activity most days. This could be walking, swimming, or dancing, whatever you enjoy.

The Journal of Clinical and Aesthetic Dermatology cautions that sleep is crucial for skin repair. Try to get 7-9 hours each night. Create a calm bedtime routine to help you relax before sleep.

Drink plenty of water throughout the day. This helps keep your skin hydrated from the inside out. Herbal teas are good too. Cut back on coffee and alcohol, as these can dry out your skin.

A 2023 focus group study warns that stress may also trigger eczema flare-ups. Try these simple stress-busters:

• Take deep breaths when you feel overwhelmed
• Spend time in nature
• Talk to a friend or family member

Even a few minutes of relaxation each day can help your skin and overall health.

How Oxford Online Pharmacy can help

Oxford Online Pharmacy is here to support you. Our knowledgeable pharmacists and online doctor team understand how menopause affects your skin. We offer personalised advice and a variety of treatments to help manage your eczema.

We stock special moisturisers for sensitive skin and stronger creams called corticosteroids that can calm bad flare-ups. If your doctor has already diagnosed you as peri- or post-menopausal, we can also provide different forms of Hormone Replacement Therapy (HRT).

Getting help from us is easy. You can call and talk to a pharmacist, send us an email with your questions, or look at our website. We’re ready to help you find ways to make your skin feel better during menopause. Don’t wait to get relief - reach out to Oxford Online Pharmacy today.

FAQs

What does menopausal eczema look like?

Menopausal eczema often appears as dry, itchy, red patches on the skin. You might notice these patches on your face, neck, hands, or inside your elbows and behind your knees. The skin can feel rough or scaly, and in some cases, it might crack or bleed.

Can menopause make your eczema worse?

Yes, menopause can worsen eczema for many women. The drop in hormone levels, especially oestrogen, can make your skin drier and more sensitive. This can trigger new eczema flare-ups or make existing eczema more severe.

Is eczema bacterial or fungal?

Eczema isn’t bacterial or fungal. It’s an inflammatory condition, which means your body’s defence system is overreacting to something.

However, because eczema can break down your skin’s protective layer, it sometimes allows bacteria or fungi to cause infections. These infections are a result of eczema, not the cause. See a doctor if your eczema looks unusually red, feels warm, or has fluid. These could be signs of an infection that needs treatment.

Resources:

1. National Eczema Society (2022). Menopause and eczema
2. NHS (2023). Atopic eczema
3. NHS (2023). About hormone replacement therapy (HRT)