Rosacea and Menopause

By Dr Magnus Lynch
MA(Cantab) DPhil(Oxon) MRCS FRCP
Consultant Dermatologist & Dermatological Surgeon

The hormonal fluctuations of perimenopause and menopause have a significant impact on rosacea. Many women find their symptoms, particularly flushing and redness, worsen considerably during this life stage or that they develop late-onset rosacea.

Why flushing worsens around menopause

The decline in estrogen during perimenopause and menopause affects the body's thermoregulatory center in the brain. This makes the body more sensitive to slight changes in temperature, leading to the characteristic "hot flushes." In individuals predisposed to rosacea, this mechanism also triggers the hypersensitive blood vessels in the face, resulting in intense and frequent episodes of facial flushing and redness.

Can HRT improve or worsen symptoms?

The effect of Hormone Replacement Therapy (HRT) on rosacea is highly individual. For some women, by stabilising estrogen levels and reducing hot flushes, HRT can lead to a significant improvement in their rosacea-related flushing. For others symptoms may not improve. It's an important factor to discuss with both your gynaecologist and dermatologist.

Dr. Magnus Lynch, Consultant Dermatologist

About Dr Magnus Lynch

I am a London-based Consultant Dermatologist and Dermatological Surgeon. I am highly experienced in skin cancer diagnosis, Mohs micrographic surgery, acne, rosacea, acne scarring and laser treatments. I studied at the Universities of Cambridge and Oxford, and completed my dermatology training and Mohs fellowship at the prestigious St John’s Institute of Dermatology. I graduated from medical school in 2003 and have worked exclusively in Dermatology since 2012.

I lead a research team at King’s College London investigating the molecular biology of skin cancer. In recent years I have been involved in Media Appearances, including the Channel 5 series 'Skin A&E', where I perform skin surgeries and treat various skin conditions. Filming for the next series has recently completed and the series will be released later in 2025.

My NHS practice is at Guy's Hospital. I consult with private patients at the London Bridge Hospital, OneWelbeck (near to Bond Street station) and on Harley Street. A new consultation is £250. Book A Consultation.

I am the founder of Revessa Health which provides online consultations for acne and rosacea across the UK (see below).

Rosacea and Menopause

Why flushing worsens around menopause

Can HRT improve or worsen symptoms?

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About Dr Magnus Lynch

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