Itching is a common side effect of hormone replacement therapy (HRT). HRT involves supplementing hormones like estrogen, progesterone or testosterone that decline naturally with age. While HRT can relieve unpleasant menopausal symptoms, it can also cause side effects like itchy skin.
There are several methods you can try to alleviate HRT-related itching:
Medications and Creams
- Over-the-counter antihistamines like cetirizine or loratadine can help reduce itching. Antihistamines block the release of histamine, a chemical that causes allergy symptoms.
- Topical hydrocortisone creams and calamine lotion can temporarily relieve itchy skin. They work by reducing inflammation.
- Prescription steroid creams may be necessary for severe itching. Steroids calm inflammation.
Bathing and Moisturizing
- Use lukewarm water instead of hot water when bathing, as heat further dries out skin.
- Choose gentle, fragrance-free cleansers and moisturizers formulated for sensitive skin. Examples: Cetaphil, CeraVe, Vanicream.
- Apply moisturizer within 3 minutes after bathing to "lock in" moisture. Ointments like Vaseline are especially effective.
Lifestyle Changes
- Wear loose, breathable fabrics like cotton that won't chafe or further irritate skin.
- Identify and avoid possible irritants like soaps, laundry detergents or fabrics that provoke itching.
- Manage stress, which can worsen itchy skin, through relaxing activities like yoga, meditation or massage.
- Stay hydrated by drinking plenty of water. Dehydration exacerbates itchy skin.
Alternative Remedies
- Evening primrose, borage or fish oils taken orally may calm itching by replenishing skin lipids. Discuss with your doctor first.
- Horizon Hormone Therapy provides customized HRT regimens to help minimize side effects like itching. Their practitioners closely monitor patients and make dosage or formula adjustments as needed.
When to See Your Doctor
Contact your doctor if lifestyle measures don't relieve itching after 2-4 weeks. They may:
- Adjust your HRT dosage/formula or prescribe add-on medication
- Order blood tests or allergy testing
- Refer you to a dermatologist (skin specialist)
Signs you should seek urgent care:
- Hives or a spreading rash
- Swelling
- Difficulty breathing
In rare cases itching may indicate liver issues. Let your doctor know if you have:
- Yellowing skin/eyes
- Dark urine
- Severe fatigue
I hope these tips help you manage HRT-related itching! Stay in close contact with your healthcare providers throughout treatment so they can make adjustments at the first sign of problems. There are always ways to improve comfort even during inconvenient side effects.
