he result is fewer acne flares.

Menopause and Hormones
During menopausal years, several hormonal changes occur. The estrogen level in the body begins to lower and women will begin to notice a thinning of their skin and loss of elasticity. The skin also becomes drier during these years as the oil glands in the skin become less active. At this point in life, Dr. Parsons recommends that a skin care regimen include a prescription retinoid, either tretinoin or tazarotene, or an over-the-counter product such as retinol or alpha-hydroxy acids.

Women also may want to visit the dermatologist during this time, especially if they experience “hot flashes” which can flare rosacea. In addition, the stress of sleeplessness during this time can flare skin conditions such as atopic dermatitis and psoriasis.

Hair and Hormones
As women age, hair also is affected by the changing levels of hormones. Some women may experience a pattern of hair loss known as androgenetic alopecia, in which hair thins on the vertex or top of their head and hair becomes finer in texture. Women retain their hairline better than men with this type of alopecia, which is primarily genetic. This type of female hair loss is primarily treated with topical minoxidil and other therapies including oral medications which can affect androgen levels, such as oral contraceptives and spironolactone.

Fluctuations in androgens also can cause hirsutism, a condition characterized by excessive growth of hair on the female face and body. Male-like patterns of hair may appear on the upper lip and chin, and more hair growth than usual may be seen on the arms and legs and even the chest and groin area. Hirsutism can be treated with topical treatments as well as many modes of hair removal including waxing, shaving and laser treatments.

If a woman has hirsutism, acne and irregular periods, polycystic ovary syndrome is a condition that is often considered. This con
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