Low levels of estrogen and progesterone during the menopause transition can also affect other hormones, resulting in symptoms throughout the body. In perimenopause and menopause, skin and hair can change considerably, because our bodies produce less collage, and the collagen we do produce is of poorer quality. Skin and hair can become dry, you might see more wrinkles, and hair might start to break off more easily, grow more slowly, and start to fall out sooner. Some women even notice brittleness in their fingernails.

Hormone replacement therapy (HRT) has been shown to increase skin hydration, elasticity, and thickness and reduce the appearance of wrinkles. At a deep level, HRT improves the quantity and quality of collagen. The goal of HRT is to help your body maintain healthy, balanced hormone levels to improve overall health and well-being.