Of all the symptoms women expect during perimenopause and menopause, itchy skin rarely gets a mention – yet it affects a huge number of women and can be one of the most frustrating daily irritations. Some describe a sharp prickling sensation, others feel a persistent itch that moves around the body, and some even experience formication – the distinct feeling that tiny insects are crawling on or just under the skin. It can be unsettling if you don’t realise it’s hormonally driven, and many women quietly put up with it, assuming it’s “just dry skin” or something they’re imagining.
Itchy skin during menopause is a common symptom caused by hormonal changes, particularly the decline in oestrogen levels, leading to dryness and sensitivity.
Causes of Itchy Skin
During menopause, the body experiences significant hormonal fluctuations, particularly a drop in estrogen levels. This decline affects the skin in several ways:
Decreased Collagen Production: Oestrogen is crucial for collagen synthesis, which helps maintain skin elasticity and moisture. As oestrogen levels fall, collagen production
decreases, leading to thinner, less resilient skin.
Reduced Natural Oils: Lower estrogen levels also result in decreased production of natural oils, which are essential for keeping the skin hydrated.
This can lead to dryness and increased susceptibility to irritation.
Increased Sensitivity: The combination of thinner skin and reduced moisture can make
the skin more sensitive to irritants, resulting in itching, which may feel like a crawling sensation or “formication”.
The truth is: this symptom is real, common and completely linked to hormonal change. As oestrogen levels decline, the body produces less collagen, natural oils and elastin the three essentials that keep the skin supple, hydrated and comfortable. With this protective cushion reduced, the skin becomes thinner, drier and more sensitive. Even the nerve endings in the skin can become more reactive, creating those pins and needles or crawling sensations that are so characteristic of formication.
Why winter makes it worse
If your itching ramps up around Christmas, you’re not imagining it. Winter weather brings a perfect storm for menopausal skin. Cold outdoor air holds very little moisture, and indoor heating pulls even more moisture from the skin’s barrier. Festive hot baths and long showers might feel heavenly, but they strip away natural oils, leaving the skin tight and uncomfortable. Add holiday stress, disrupted routines and perhaps a little extra alcohol, and the skin often becomes even more reactive and itchy.
So what can help?
The good news is that small, consistent habits can make a big difference. Start by moisturising generously and regularly, choosing fragrance-free creams or body oils that replenish lost lipids and soothe irritation. Ingredients like ceramides, hyaluronic acid, oat extract and squalane can provide real relief.
Switching to warm rather than hot showers, using gentle cleansers, and patting (not rubbing) the skin dry all help to protect its delicate surface. Clothing can play a surprisingly big role too wearing soft, breathable fabrics such as cotton and bamboo are far kinder to sensitive skin than wool or synthetics, which can create extra friction.
Hydration is essential, both inside and out. Drinking enough water, using a humidifier, or simply keeping a glass by your bedside can help counteract the dry indoor air of winter. And because formication often has a neurological element, managing stress can be key. Deep breathing, gentle stretching, journaling or joining one of our Menopaus’ull walk & Talk sessions can all help calm the nervous system and reduce flare ups.
You’re not imagining it and you’re not alone
Itchy skin and formication can feel intrusive and even distressing, but understanding the cause can be empowering. This symptom is a totally normal part of the menopausal journey — and with the right care and strategies, it can be managed. Most importantly, if the itching is severe, persistent or affecting your everyday quality of life, don’t hesitate to speak with a healthcare professional. Support is always available, and you deserve to feel comfortable in your skin.
