Rosacea is a chronic skin condition that, for many, becomes prevalent during menopause. Unless you’ve found a way to manage it, it can act like an unpredictable guest crashing the party on your face, neck, or chest. Whether it gives you that permanent blush effect or bumpy skin that leaves you wishing for a quick fix, rosacea can affect many things, from comfort to confidence.

Rosacea can present in several ways depending on the sub-type you have and its severity. These include redness, rashes, bumps, pus-filled spots, thickened skin, and broken blood vessels that give that red-veiny look. Sometimes, it’s even mistaken for eczema.

Rosacea can affect anyone, although it’s more common in those with lighter skin tones. Those with darker skin might get hard lumps around the eyes and mouth or brown skin discolouration, which is not as obvious but can be just as bothersome.

Let’s not forget the accompanying sensations. Rosacea can cause your skin to feel sensitive, dry, and irritated, like it’s always on high alert. And those hot flashes? They’re like throwing fuel on the rosacea fire, making your face feel like it’s in the middle of a heatwave.

So, what causes rosacea? Genetics, skin sensitivity, and personal health factors can all play a role. Whether you’re considering the cause, symptoms, triggers, or best treatment options, it’s not a one-size-fits-all situation.

In this article, we’ll help you piece together the rosacea puzzle, first by exploring its connection with menopause and then some potential solutions. Read on to take the next step towards reducing your rosacea-related flare-ups and frustrations and embark on a journey to clearer, calmer skin.

The Links Between Rosacea and Menopause

Menopause and rosacea often go hand in hand, creating a complex relationship fueled by hormonal changes. Studies have found that hormone imbalances are associated with rosacea, and menopause brings about significant hormone changes. Oestrogen, progesterone, and testosterone levels decline while follicle-stimulating hormone (FSH) and luteinising hormone (LH) increase.

Oestrogen is crucial for skin health, helping to maintain collagen, elastin, and hyaluronic acid levels. These substances contribute to skin thickness, elasticity, and hydration, giving that firm, plump, youthful look.

When oestrogen levels drop, the skin can be adversely affected, becoming irritated, itchy, sore, and dry. This decline in oestrogen is likely one of the most significant factors linking rosacea with menopause, often making your rosacea symptoms worse during this stage of life.

Hormone changes can also make your skin feel more sensitive. This increased sensitivity means external stimuli like sunlight and high temperatures can affect your skin more easily during menopause. It might also explain why skincare products that were previously fine now cause rosacea flare-ups.

Menopausal hot flashes can have a lot to answer for. These sudden bursts of heat can exacerbate or even trigger rosacea. Imagine your face already feeling like it’s on fire, and then a hot flash comes along, turning up the heat even more. It’s like a double whammy, but understanding this connection can help you find ways to cool down and manage your symptoms.

Stress levels often go through the roof during menopause. Cortisol, an essential stress-regulating hormone, can cause inflammation when levels become consistently high due to chronic stress. This inflammation could be another potential trigger for rosacea, highlighting one of the many reasons to focus on maintaining healthy stress levels during menopause.

Rosacea can continue even after menopause. Hot flashes and high stress levels may trigger or worsen rosacea, but they’re not necessarily the underlying cause. Understanding the hormonal links and finding ways to manage these changes can help you navigate this challenging time more easily.

Ways to Manage Rosacea During Menopause

Now that we’ve explored how menopause can impact rosacea let’s look at how to improve rosacea during menopause and prevent those pesky flare-ups.

Understanding your triggers is crucial, as they can vary from person to person. With this knowledge, you can create a customised approach to managing your rosacea.

Various factors can trigger rosacea, including temperature extremes, sun exposure, dietary choices, skin barrier changes, hormones, and emotional stress. Here are some suggestions to help you manage your rosacea by addressing common triggers and exploring additional solutions.


Keeping your skin moisturised is essential when managing rosacea, as dryness can exacerbate the condition. Many over-the-counter medicated topical creams and several natural alternatives are available. You may need to experiment to find the right product for your changing skin during menopause.

Avoid skincare products that may irritate the skin, such as those containing alcohol or harsh chemicals. Ingredients like menthol, witch hazel, salicylic acid, sodium lauryl sulphate, eucalyptus, and peppermint can worsen rosacea. Opt for hypoallergenic and fragrance-free formulas that are gentle on the skin. Ceramide-based moisturisers can help protect the skin and keep irritants out, making them beneficial for various skin conditions, including rosacea.

Consider the ingredients in your laundry detergent, soap, and shower gel, as they can also affect your skin. Using warm water rather than hot when cleaning your skin can be beneficial, as hot water can be too harsh and dry out your skin.

Remember, rosacea indicates sensitive skin, so avoid overdoing your skincare routine. Excessive use of skincare products, makeup, and beauty treatments could worsen your condition.

Diet, Exercise, and Environmental Considerations

Certain foods and drinks can trigger your rosacea symptoms, including spicy foods, hot drinks, alcohol, caffeine, chocolate, tomatoes, and citrus. These trigger foods may vary from person to person, so it’s essential to identify what affects you personally.

Focus on healthy nutrition through a diet rich in antioxidants and omega-3s. Some studies suggest that omega-3 supplementation can improve rosacea symptoms. You can pick up omega-3 supplements at your local chemist or get them on Amazon.

Moderate exercise in cool environments is also beneficial. Mind-body exercises such as yoga are excellent options, as they can help manage psychological stress levels, which can be a trigger for rosacea.
Limit heat and wind exposure, and use sun protection for sensitive skin. Avoid hot baths and showers, as the heat can aggravate rosacea.

Other Treatment Options for Rosacea

What about HRT and rosacea? Some people use Hormone Replacement Therapy (HRT) to help rebalance their hormones during and after the menopause transition. HRT can help reduce symptoms of menopause, including hot flashes and rosacea. Consult your healthcare provider to see if it’s right for you.

Your doctor might recommend antibiotics, non-steroidal anti-inflammatory drugs like ibuprofen, or other oral medications for rosacea. Antihistamines can also be helpful due to their anti-inflammatory effects, reducing itchiness and redness. Some doctors prescribe antidepressants to lessen the likelihood of stress-related rosacea flare-ups. You can discuss your best treatment options with your leading healthcare provider.

Other treatment options include laser therapy, which may decrease the size of blood vessels and the appearance of red vein marks. LED light therapy can soothe the skin and reduce symptoms like itching, stinging, and pain. Dermabrasion and cryotherapy are additional treatments you can explore.
By understanding your triggers and adopting a personalised management plan, you can take significant steps towards reducing rosacea-related flare-ups and frustrations during menopause.

Further Help with Rosacea During Menopause

Navigating the journey of rosacea during menopause can be challenging, but there are resources and strategies to help you manage this condition more effectively. By exploring these options, you can find new ways to improve your rosacea and overall well-being.

Vicky Jamieson is a qualified beauty therapist, holistic aromatherapist, wellness coach, and skin expert. She combines Eastern and Western wellness philosophies that have stood the test of time, empowering you to embrace your body and live with vitality without giving up the things you love.

Vicky offers a six-week self-paced course to help you confidently navigate and thrive through menopause naturally. Some of the participants in this course have improved their rosacea through Vicky’s methods.

Natural supplements for menopause are also worth exploring. MenoRescue™ addresses unhealthy cortisol levels by improving oestrogen and progesterone balance. It contains ingredients that naturally support and boost hormone levels, including ashwagandha, rhodiola, sage leaf, red clover, and black cohosh.

Although the formula isn’t specifically for rosacea, it may help you manage the symptoms of menopause. Among these are those dreaded hot flashes, which, as mentioned above, can potentially exacerbate rosacea.

By understanding the links between rosacea and menopause and implementing practical strategies to manage your symptoms, you can take control of your skin health. Embrace this new chapter confidently, knowing clearer and calmer skin is within reach.

About The Author

Written by Elly McGuinness, a freelance writer with extensive experience in the health and fitness industry and a passion for holistic wellness.

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As an Amazon Associate we earn from qualifying purchases.  We get a small commission at no extra cost to you for which we thank you.  It helps us continue to bring informative content to women who are going through menopause.

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