Perimenopause and Skin Changes: How to Manage Acne and Dryness
One of the most confusing skin experiences for women over 40 is dealing with *both* acne and dryness at the same time. Welcome to the world of perimenopause, where hormonal shifts can turn your skincare routine upside down.
If you’re noticing unexpected breakouts alongside flaky, tight skin, you’re not alone. These symptoms are often caused by estrogen and progesterone fluctuations that directly affect your oil production, hydration levels, and inflammation response.
Why Skin Changes During Perimenopause
Perimenopause is the transitional phase before menopause, often beginning in the early to mid-40s. Hormones like estrogen and progesterone begin to fluctuate and gradually decline — and your skin notices.
Here’s what typically happens:
- Less estrogen: Means less collagen, thinner skin, and reduced moisture retention.
- Progesterone dips: Lead to slower cell turnover and increased sensitivity.
- Androgens (male hormones): May become more dominant, triggering increased oil production — and breakouts.
This combination creates the perfect storm: clogged pores, dry patches, redness, and irritation.
How to Manage Acne and Dryness Simultaneously
Managing combination skin in your 40s requires a delicate balance — not stripping the skin while still preventing breakouts.
1. Use a Gentle Cleanser
Avoid harsh foaming cleansers that can