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Menopause Itching: Causes, Diagnosis, Treatment And Prevention
Menopause is a natural condition defined as a permanent stop of menstruation due to decline in ovarian follicular activity. Some factors like surgery, infection, hormonal defects, toxins, lack of nutrients and socioeconomic factors are also responsible to trigger the condition at an early stage. [1]
Menopause due to hormonal changes usually cause symptoms like itchy skin, vaginal dryness, hot flashes and night sweats. Pruritus or itching is the main symptom during menopause due to insufficient production of the lubricants, causing the vagina to dry out and the tissues nearby to get thinner and more sensitive and fragile. [2]
Causes Of Menopause Itching
Oestrogen in the body has numerous functions. It is vital for the healthy functioning of the female reproductive system as well as for the production of natural body oils and collagen, which prevents the skin from getting drier and sensitive. The natural lubricants of the vagina help to keep the vagina moist and protect it from infections. A total of 90% of the oestrogen hormone is produced in the ovaries while the rest is produced in fat, kidney and liver. [3]
As women age or reaches the menopausal age (45-60), the effectiveness of ovaries declines causing a decrease in the production of this essential hormone. Due to depletion in the level of oestrogen, areas which have high oestrogen receptors like face, genitals and lower limbs get affected more making the skin itchy and dry.
Other causes of menopause itching include allergies, insect bites, smoking, hot showers, anxiety and alcohol abuse.
Affect Of Menopause On The Skin
Menopause causes many types of skin changes which are as follows: [4]
- Rash: It takes place when the skin becomes sensitive to temperature during menopause due to the fall in oestrogen level. This causes a sudden sensation of hot flashes making the face go blushed or red.
- Thinning hair: The less production of oestrogen makes the skin brittle and thinner. The condition becomes worse when the skin is not managed by sunscreen or other UV protective creams.
- Facial hair: Due to hormonal changes during the menopause, the level of oestrogen declines. This results in the growth of facial hairs mainly near the jawline or upper lip.
- Dry skin: As oestrogen helps to retain the moisture in the tissues, a decrease of which causes the skin prone to dryness. Use of traditional soaps is best suggested during the time.
Diagnosis Of Menopause Itching
Itching is common, however, if the symptoms prevail for more than three days, it needs immediate attention. Some of the common tests suggested during the menopause itching are x-rays, blood tests and thyroid or liver tests.
Home Remedies For Menopause Itching
No doubt, home remedies are the best and the easiest way to prevent menopause itchiness. Some of the common home remedies for menopause itching are as follows:
1.
Moisturizer:
Skin
moisturizer
is
essential
to
lock
the
moisture
after
a
bath
in
the
outer
layer
of
the
skin.
Natural
moisturizers
like
coconut
oil
and
aloe
vera
hydrate
the
skin
and
act
as
a
lubricating
film
thus,
preventing
the
skin
from
getting
dry
and
itchy.
[5]
How
to
use:
Pour
a
few
drops
of
coconut
oil
with
an
aloe
vera
gel
and
apply
it
all
over
the
body
immediately
after
the
bath.
2.
Oatmeal
bath:
Colloidal
oatmeal
is
a
finely
ground
form
of
oatmeal.
It
enables
the
skin
to
absorb
the
fibre
and
cellulose
present
in
oatmeal
and
stay
soft
for
a
longer
period.
[6]
How
to
use:
Add
some
amount
of
oatmeal
powder
in
the
bathtub
containing
lukewarm
water.
Soak
in
the
tub
for
at
least
10
minutes
and
then
pat
the
skin
dry.
Remember
to
not
use
too
much
hot
water.
3.
Vitamin
C:
This
essential
vitamin
helps
in
the
production
of
collagen
and
repairing
the
damaged
tissues.
When
taken,
it
prevents
the
skin
from
getting
dry
and
itchy.
[7]
How
to
use:
Take
an
oral
supplement
of
vitamin
C
or
eat
foods
that
contain
an
abundance
of
this
particular
vitamin.
4.
Cool
compress:
This
is
the
fastest
and
the
easiest
ways
to
get
relief
from
itchiness
caused
due
to
menopause.
It
also
helps
ease
swelling
and
rashes
in
the
vaginal
area.
[8]
How
to
use:
Fill
a
plastic
bag
or
ice
bag
with
ice
or
cold
water.
Place
it
over
the
affected
skin
and
hold
until
the
itchiness
goes.
Repeat
when
needed.
Medicinal Treatment For Menopause Itching
Though home remedies are the easiest ways to treat a condition, most of the time medicinal treatment is considered as it is fast and effective. Common medical treatment methods are as follows:
1.
Corticosteroids:
It
is
used
to
reduce
inflammation
and
ease
itchiness
and
redness
present
in
the
body.
2.
Over-the-counter
anti-itch
creams:
Such
creams
are
used
to
soothe
itchy
skin
and
reduce
inflammation.
Anti-itch
creams
with
at
least
1%
of
hydrocortisone
are
considered
the
best
for
the
treatment.
3.
Hormone
replacement
therapy:
They
are
considered
only
after
a
proper
recommendation
from
a
medical
expert.
It
is
a
type
of
therapy
used
to
treat
the
symptoms
of
menopause.
Prevention Tips
- Stay hydrated
- Avoid hot showers
- Avoid using harsh soaps for bathing
- Moisturize your skin after the bath
- Don't scratch the itchy areas
- Keep fingernails trimmed
- Reduce stress
- Avoid smoking and alcohol consumption
- Sleep well and timely
- Exercise daily
- [1] Peacock K, Ketvertis KM. Menopause. [Updated 2019 Nov 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-.
- [2] Santoro, N., Epperson, C. N., & Mathews, S. B. (2015). Menopausal Symptoms and Their Management. Endocrinology and metabolism clinics of North America, 44(3), 497–515. doi:10.1016/j.ecl.2015.05.001
- [3] Nair P. A. (2014). Dermatosis associated with menopause. Journal of mid-life health, 5(4), 168–175. doi:10.4103/0976-7800.145152
- [4] Bolognia, J. L., Braverman, I. M., Rousseau, M. E., & Sarrel, P. M. (1989). Skin changes in menopause. Maturitas, 11(4), 295-304.
- [5] Hon, K. L., Kung, J., Ng, W., & Leung, T. F. (2018). Emollient treatment of atopic dermatitis: latest evidence and clinical considerations. Drugs in context, 7, 212530. doi:10.7573/dic.212530
- [6] Michelle Garay, M. S., Judith Nebus, M. B. A., & Menas Kizoulis, B. A. (2015). Anti-inflammatory activities of colloidal oatmeal (Avena sativa) contribute to the effectiveness of oats in treatment of itch associated with dry, irritated skin. Journal of drugs in dermatology, 14(1), 43-48.
- [7] Wang, K., Jiang, H., Li, W., Qiang, M., Dong, T., & Li, H. (2018). Role of Vitamin C in Skin Diseases. Frontiers in physiology, 9, 819. doi:10.3389/fphys.2018.00819
- [8] Patel, T., & Yosipovitch, G. (2010). Therapy of pruritus. Expert opinion on pharmacotherapy, 11(10), 1673–1682. doi:10.1517/14656566.2010.484420
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