Skin is the body's largest organ and the body's protective shield. It regulates body temperature, protects against germs, and has the ability to interpret cues from the environment.

Similarly, hair also serves various functions. It absorbs sweat, protects the skin from the sun, and it serves as a form of self-expression.

Unfortunately, diminishing levels of hormones during perimenopause and menopause can greatly impact the integrity of skin and hair in a negative way.

Collagen provides the protein building blocks for skin, hair, and nails, and its production closely correlates to the levels of estrogen available in the body.

The more estrogen that is available in the body, the more collagen is made, which in turn, contributes to firmer, more elastic skin and stronger hair.

The loss of estrogen and subsequent decline in collagen production also greatly compromises vaginal tissue integrity. As one of the most sensitive areas on a woman's body, this can result in thin, dry, and tender vaginal walls. Intercourse may become uncomfortable or even painful. Small tears in the vaginal tissues can also lead to bleeding and infection.

Supplementing hormones with hormone replacement therapy (HRT) has been shown to increase skin hydration, elasticity, and thickness, as well as reduce the appearance of wrinkles. At a deep level, HRT improves the quantity and quality of collagen, supporting the health and appearance of hair and skin.