A variety of skin conditions are associated with the menopause years, including dry flaky skin, acne, and thinning skin. Another dermatological symptom is hives. Here are some things women should know about menopause and hives.

What are hives?

Hives (urticarial) are itchy, red welts or wheals that appear on the skin as a result of a reaction. The welts can develop anywhere on the body and are a response to the release of histamine and other chemicals into the bloodstream from certain cells. Hives are considered chronic if they persist for more than six weeks and reappear frequently over a period of months or years.

The cause of chronic hives is not always known, but numerous triggers have been identified. Some people develop hives when exposed to stress, sunlight, alcohol or certain foods, or pressure on the skin from tight clothing. Other triggers may include insects, parasites, infection, scratching, cold or heat, exercise, or use of pain medications. In rare cases hives are associated with thyroid disease.

Read about how to get rid of hives

How are hives associated with menopause?

The exact relationship between chronic hives and menopause is still unclear. Experts have formed some theories to explain them. A 2008 study noted that “urticarial may be associated with some diseases and conditions characterized by hormonal changes, including…menopause and horonal contraceptives.”

It’s also possible that hormone changes that occur during the menopause years trigger an autoimmune response. It’s been shown that up to 50 percent of chronic urticarial cases are associated with an autoimmune response. Yet another theory set forth by the authors of a 2006 study is that estrogen helps regulate the immune system, and that when estrogen declines it may set the stage for an autoimmune condition.

It’s also possible that some of the symptoms women experience during menopause, such as hot flashes, anxiety, and night sweats, trigger the development of hives. Yet another theory is that fluctuating estrogen levels cause a rise in histamine levels, which in turn results in hives.

How can you manage hives in menopause naturally?

If you are experiencing chronic hives, they can have a significant impact on your daily life, interfering with work, sleep, and other activities. The following tips may help prevent or relieve the itching associated with hives.

Read about natural treatments for hives

• Dab witch hazel to the affected areas with a cotton pad several times a day. Let it stay on for 20 minutes, then rinse off.
• You can apply aloe vera gel directly from the plant or use a commercially available gel or juice on your skin. However, because some people react to aloe vera, do a skin test first on the inside of your arm overnight to make sure it’s safe. Aloe vera is a natural anti-inflammatory.
• Use a combination of apple cider vinegar and water. A 2:1 mixture applied to the affected area can relieve itching.
• Add about ½ cup colloidal oatmeal or baking soda to a cool bath and soak for 10 to 20 minutes for relief.
• Combine ground turmeric with enough water to make a paste. When applied to hives, it can reduce inflammation and relieve itch.
• A few drops of tea tree essential oil in water can be applied directly to hives for itch relief.
• Drinking ginger or green tea may help with curbing hive outbreaks.
• Wear loose, light clothing. Cotton is a good choice.
• Avoid using harsh soaps, detergents, or cosmetics.
• Cool the affected areas with cold compresses or a fan.
• Always use sunscreen when you go outside.

when to call your doctor

If the hives are having a significant impact on your daily activities, you should seek the help of a physician. Also call your doctor if the hives last more than several days or if you experience a fever, chills, or trouble breathing.

A healthcare provider may be able to help you determine whether the urticaria is the result of an autoimmune condition, in which case you can seek treatment for the condition. You may need to consult with an endocrinologist or immunologist.

bottom line

The appearance of hives in menopause can be an acute or chronic occurrence. Natural remedies can be helpful in curbing the symptoms, but be sure to seek a doctor’s help if the welts don’t go away or interfere with daily activities.