HOW HORMONES IMPACT YOUR SKIN: A GYNECOLOGIST’S GUIDE TO MENOPAUSAL SKIN HEALTH
As a gynecologist, I often hear women say things like, “My skin just isn’t the same anymore,” or “Why does it feel like I aged overnight?” These concerns are incredibly common—and completely valid. One of the most overlooked effects of menopause is the dramatic change in skin health, driven almost entirely by declining hormone levels.
Estrogen, in particular, plays a vital role in maintaining skin elasticity, hydration, thickness, and healing. As estrogen drops during perimenopause and post-menopause, skin becomes thinner, drier, and more prone to sagging and wrinkles. Many women begin to notice these shifts in their late 40s and early 50s.
Thankfully, there are evidence-based treatments that can restore skin health from the inside out. Hormone Replacement Therapy (HRT)—especially when it includes bioidentical estrogen and testosterone—can help slow or even reverse the structural skin changes that come with menopause. Women on HRT frequently report brighter, more hydrated, and resilient skin. Estrogen stimulates collagen production, improves blood flow to the skin, and increases hyaluronic acid synthesis—making it one of the most powerful tools for preserving youthful skin through the menopausal transition.
In addition to systemic hormone therapy, topical estriol cream can be incredibly helpful for targeted skin concerns, especially on the face and in the intimate areas. Estriol is a gentler form of estrogen that can be applied directly to the skin to improve texture, elasticity, and tone without systemic effects. For vulvovaginal health, estriol cream is highly effective in relieving dryness, irritation, and thinning—common issues that affect over half of postmenopausal women.
Whether used alone or alongside systemic HRT, topical estriol offers a safe, localized approach to skin rejuvenation. Women don’t have to accept dry, fragile, aging skin as inevitable. With the right hormonal support, vibrant, healthy skin is absolutely within reach.
HRT and topical estriol are available at Ramsey Modern Wellness.
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