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Leading dermatologists, ophthalmologists, researchers and others will answer questions about this chronic but treatable condition. New questions are answered every month, so be sure to check back regularly.
Wednesday, January 7, 2009
Q Is there a connection between rosacea and perimenopause? At about the same time I was diagnosed with ocular rosacea I noticed that I started to feel hot often. I am 47 and assume the hot flashes are due to perimenopause.
AResponse from Dr. Boni Elewski, professor of dermatology at the University of Alabama-Birmingham School of Medicine and former president of the American Academy of Dermatology:
Yes, there may be a connection. It is widely observed that rosacea may be initiated or aggravated by menopause or at perimenopause, the time before menstrual periods end when estrogen levels begin dropping. Both menopause and rosacea are associated with flushing, and these can be indistinguishable. However, heat is a potential trigger factor for rosacea flare-ups, and the hot flashes associated with these conditions may prompt flushing episodes in women who already have or are at risk for rosacea.
While ocular rosacea is most frequently diagnosed when signs and symptoms of rosacea are also present on the skin, eye symptoms of rosacea may occur before skin manifestations in some patients. If your hot flashes become unmanageable and you need to seek medical treatment, be sure to tell your physician about your ocular rosacea and any medications you are taking. This will help avoid any adverse drug reactions and ensure that you receive appropriate therapy.
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