What to do about dry, rough skin during menopause

In general, dry and rough skin during menopause may be caused by declining estrogen levels, inadequate moisturizing care, damaged skin barrier, seborrheic dermatitis, hypothyroidism, and other factors. It is recommended to seek timely medical attention, identify the underlying cause, and improve symptoms under a doctor's guidance through general management, medication, and other treatments. Specific analyses are as follows:

1. Declining estrogen levels: During menopause, ovarian function declines and estrogen secretion decreases, leading to weakened sebaceous and sweat gland activity in the skin. This accelerates water loss, resulting in dryness and roughness. It is advisable to consume more foods rich in phytoestrogens, such as soy products and royal jelly, to help regulate hormonal balance.

2. Inadequate moisturizing care: Improper cleansing methods or insufficient use of moisturizers can lead to continuous water loss from the skin, worsening its condition. Use lukewarm water for facial cleansing, avoid soap-based cleansers, and apply a ceramide-containing moisturizer within three minutes after washing. Perform gentle hydrating face masks twice weekly.

3. Damaged skin barrier: Excessive exfoliation or frequent exposure to irritants can impair the skin barrier, reducing its ability to retain moisture. Discontinue exfoliating products and switch to fragrance-free, alcohol-free skincare products. Under medical guidance, use medications such as recombinant human epidermal growth factor gel, hyaluronic acid gel, or vitamin E cream to repair the skin barrier.

4. Seborrheic dermatitis: Hormonal changes may disrupt sebum production, causing seborrheic dermatitis, which manifests as rough skin with flaking. Patients should follow medical advice to use medications such as ketoconazole cream, selenium sulfide shampoo, or vitamin B6 tablets to regulate sebum secretion and reduce inflammation.

5. Hypothyroidism: Thyroid dysfunction is common during menopause. Insufficient thyroid hormone secretion slows metabolism, leading to dry, rough skin accompanied by fatigue. Patients need to take thyroid hormone replacement medications such as levothyroxine sodium tablets, thyroid extract tablets, or levothyroxine sodium capsules as prescribed to restore hormone levels and improve skin condition.

In daily life, avoid prolonged sun exposure and practice proper sun protection when outdoors. Increase intake of foods rich in vitamin C and omega-3 fatty acids, such as oranges and deep-sea fish. Maintain a regular sleep schedule, avoid staying up late, and engage in moderate exercise to promote blood circulation and enhance skin metabolism.