Menopause & The Skin
In the teen years, skin is plagued with excess oil (for some) and most midlife women struggle with their skin; for some, acne is still a problem.
The primary skin change related to declining estrogen is the reduction of collagen. Collagen is the main supportive protein of the skin's bone, cartilage, and connective tissue. When skin and mucous membranes lose their resilience due to reduction in collagen thickness, a transformation in appearance occurs; it is due to changes in collagen and blood vessels.
The metamorphosis attributed to aging are wrinkling, drying, thinning, mutations in pigment, and reduced elasticity. As we age, our thinning blood vessel walls lead to increased bruising; healing time is doubled because of the slowed epidermis turn over rate.
The skin reveals more lines and less tone as we age because the underlying support has been reduced. Loss of collagen and elasticity is evident in "expression" lines. Decreased thickness means fewer oil glands in the skin--less oil, more dryness. Fewer oil glands and dry skin make us feel itchy. Some menopausal women feel plagued by the feeling of something crawling on their skin and need adjustments in the way they are being touched, e.g. sensitive to touch/hypersensitivity, (The Menopause Manager, Mary Ann Mayo & Joseph L. Mayo, M.D. 1998).