What happens to your skin and hair during perimenopause and menopause, and why does it sometimes feel like everything changes overnight? In this episode of The Shift with Sonia Azad, I sit down with integrative dermatologist Dr. Corinne Erickson to talk about the often-overlooked connection between hormonal changes and skin and hair health in midlife. We talk about why estrogen matters to the skin, what can contribute to hair loss in your 40s and 50s, why melasma can suddenly appear, and how GLP-1 medications and rapid weight loss can intersect with hair shedding. Dr. Erickson explains why these changes aren't simply about "getting older" or something you need to fix with Botox, filler or an endless collection of skincare products. Hormonal changes can affect collagen, elastin, hydration, inflammation, skin-cell turnover and the hair-growth cycle—and understanding the biology can change how we approach them.

ABOUT THE SHIFT WITH SONIA AZAD

The Shift is a podcast about navigating the big transitions of life with more intention, curiosity and self-trust. I'm Sonia Azad, a longtime TV health journalist, yoga and meditation teacher, and global wellness retreat leader, and I have spent more than two decades talking to experts and asking questions about how we can live healthier, more meaningful lives. If you're navigating a major life shift, whether it's midlife, a career change, a relationship transition, a health journey or simply realizing that the life you've been living no longer fits, you're in the right place.

Subscribe to The Shift for more honest, expert-informed conversations about healthy ways to navigate major life shifts. If this conversation helped you understand your own skin or hair changes a little differently, share it with a woman in your life who needs to hear it.

This conversation is for educational purposes and is not a substitute for individualized medical advice. Talk with your own healthcare professional about your symptoms, medications and treatment options.

TAKEAWAYS

1. Hormonal changes can dramatically affect your skin and hair. Estrogen interacts with skin cells and plays a role in collagen, elastin, hydration, inflammation, blood flow and skin-cell turnover. As estrogen fluctuates and eventually declines, women can notice significant changes.

2. Midlife hair loss is often multifactorial. Hormones may be part of the picture, but iron/ferritin, thyroid function, vitamin D, nutrition, rapid weight loss and other factors can also contribute.

3. Rapid weight loss associated with GLP-1s can trigger telogen effluvium, but nutritional changes and previously underlying female-pattern hair loss may also play a role.

4. Melasma isn't just sun damage. Sun exposure, visible light, heat, hormones, inflammation and genetics can all contribute.

5. Your healthcare team may need to evolve with you. The doctor who was right for one season of your life may not be the right person for another.

6. Skin health deserves medical attention, not just cosmetic attention. A dermatologist can distinguish normal changes from conditions that deserve treatment.

7. Midlife skincare doesn't have to mean doing more. Dr. Erickson's philosophy is simple: protect what you have and replace what you've lost.