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Does Menopause or Hormonal Change Trigger Rosacea?

Published 4th March 2026
min read

Expert Reviewed By

There is a link between menopause and rosacea due to the changes that take place, which can make the condition more or trigger .

We will how menopause and hormonal influence rosacea and how to recognise the signs early.

What Happens to Skin During Menopause

affects every organ system in your body, and your skin is definitely not the exception. 

As the organ of your body, your skin is affected by the lack of during and . Your help your skin’s mechanisms, so when levels fall, this can lead to dry, itchy and sore skin.

Two key have a direct impact on the skin.

during this stage of life can also lead to other skin . During perimenopause and menopause, women can suffer from:

is an skin condition in which your skin, your cheeks and nose, extremely red and inflamed.

Common markers or indications that you have rosacea visible blood vessels, tiny bumps, and sometimes bumps that are filled with fluid. You may also notice general skin around this area of your face.

is most commonly seen in women the ages of around 30 and 60, which overlaps with the years when women enter and . Hormone changes from menopause make the skin more reactive and prone to inflammation, which can contribute to rosacea either developing or worsening. For that reason, there is a link between rosacea and menopause. 

However, hormone levels are not the sole cause or of . For many women, develops before . We know that certain factors can make you more predisposed to rosacea, particularly having fair skin and genetic . If your have rosacea, there is a higher chance that you may develop it as well.

Another reason rosacea can become more obvious at this stage of life is the of menopausal symptoms such as hot . These sudden bursts of heat cause blood vessels in the face to dilate, which can trigger or worsen facial redness.

It’s also important to recognise the between rosacea and hot flushes. Rosacea usually affect the central face, including the nose, cheeks and chin. Hot menopausal tend to create a more general feeling of heat that spreads across the body rather than remaining concentrated in one area.

Why Hormonal Changes Can Trigger Rosacea

changes during perimenopause and menopause can make rosacea more noticeable or cause flare-ups in people who already have the . 

Several explain why rosacea often becomes worse during menopause.

Increased skin sensitivity

As oestrogen levels decline, the skin’s becomes weaker. This makes the skin more sensitive to triggers such as heat, and certain products.

When the skin barrier is compromised, develops more easily, which can lead to and .

Changes in blood vessels

also affect how blood behave in the skin. Lower oestrogen levels can make facial blood vessels more reactive, them to dilate.

When these vessels widen, more blood flows to the surface of the skin. This creates the redness and flushing commonly associated with .

Hot flushes

Hot flushes are one of the most common menopausal and can make rosacea worse.

During a hot flush, body rises suddenly and blood vessels widen to heat. This in blood flow can facial redness and trigger rosacea flare-ups.

Stress and anxiety

Stress and anxiety are also common during menopause. These can in the body and in people with rosacea.

For many women, a of hot flushes, stress and skin explains why symptoms appear or worsen during midlife.

Common Rosacea Symptoms Linked to Hormonal Changes

symptoms can vary from person to person, but there are several signs that appear during hormonal changes.

Common symptoms include:

Persistent facial redness: often across the cheeks and nose

Frequent flushing: sudden of or warmth in the face

Visible blood vessels: small thread veins close to the of the skin

Small red bumps or spots: sometimes mistaken for acne

Skin sensitivity: burning, or irritation

Skin thickening: which can develop in more advanced cases

Some people also notice that certain triggers make worse.

include:

Because can look similar to acne or general redness, many people do not they have the condition at first. Getting advice early can help prevent symptoms becoming more severe.

How to Manage Rosacea During Menopause

Although can feel difficult to manage, there are effective ways to keep symptoms under control during .

Identify and avoid triggers

Many people find that certain trigger flare-ups. Common include alcohol, spicy foods, extreme temperatures and emotional stress.

your personal can help reduce flare-ups and keep symptoms under .

Protect your skin from the sun

Sun exposure is a rosacea . Daily sunscreen helps protect the skin and reduces the risk of and irritation.

A gentle SPF should be part of your everyday skincare routine.

Use gentle skincare

During menopause, skin often becomes more sensitive. Using simple, gentle can help protect the skin barrier.

Helpful skincare habits include:

Read our article to learn more about a . 

Seek treatment

If rosacea symptoms or worsen, it’s best to seek out professional advice. and skin can recommend treatments that reduce redness and inflammation.

These may include prescription skincare, desensitisation or advanced laser treatments that target blood .

Managing Menopause Rosacea at Thames Skin Clinic

Rosacea during menopause can feel frustrating, particularly when your skin suddenly becomes more sensitive, and prone to . 

At in Twickenham, benefit from a to skin health. The clinic is led by , an medical doctor with more than two decades of clinical and a speciality in  

Rosacea can present in several different ways, which is why treatment needs to be to the . At Thames Skin Clinic, plans combine skincare, lifestyle guidance and advanced to help calm .

If changes have left your skin feeling more reactive or prone to redness, at Thames Skin Clinic.

Monday - 09:30-16:30

Tuesday - 09:00-17:30

Wednesday - 09:00-19:30

Thursday - 09:30-17.30

Friday - 09:00-17:30

Saturday - 09:00-16:30 by appointment

Thames Skin Baylis Mews,

Twickenham TW1 3HQ

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