The conventional narrative surrounding menopause typically focuses on the most documented symptoms, such as hot flashes, sleep disruptions, and mood swings. However, there’s a lesser-discussed yet significant symptom that a large number of women grapple with during this crucial life phase – persistent itching, informally known as the ‘itch factor’.
Pruritus, the formal terminology for itching, isn’t usually the primary symptom that comes to mind when discussing menopause. Yet, it’s a substantial concern affecting a sizable number of women during this transformative life phase, often underrepresented in both day-to-day conversations and medical research literature.

Multiple studies have pointed out that decreased estrogen levels during menopause can lead to an increase in skin dryness and subsequent itching. A particular study referenced in the Indian Express indicated that over half of postmenopausal women experienced symptoms such as dryness and itching, thereby bringing to light the prevalence of this problem.
The ‘itch factor’, however, isn’t just limited to causing physical discomfort. The incessant and often unexplained itching can escalate anxiety levels, cause disruptions in sleep patterns, and impact self-esteem negatively. This significantly influences a woman’s overall quality of life and mental well-being.
Dr. Mithee Bhanot, a Senior Consultant Obstetrician and Gynecologist at Apollo Hospitals, emphasizes the significance of the often-dismissed itching symptom during menopause. The increased sensitivity of the skin’s nerve endings plays a role in this sensation. Factors such as medication usage, existing medical conditions, and environmental factors can influence the manifestation of itching. The duration of this symptom varies among women, with some experiencing it for a few months and others enduring it for several years.

Consultant Gynecologist at NH SRCC Children’s Hospital, Dr. Rujul Jhaveri, underscores the role of physiological changes in menopause leading to heightened itching. She indicates that falling estrogen levels can cause the skin to become drier and less elastic, increasing itchiness. Dr. Jhaveri emphasizes that a significant 85% of menopausal women report some degree of skin itching.
Addressing the ‘itch factor’ demands a comprehensive approach. Simple yet effective strategies include increasing fluid intake to ensure proper hydration, applying gentle, fragrance-free moisturizers to keep the skin nourished, and avoiding hot showers that can strip the skin of its natural oils. Additionally, Hormone Replacement Therapy (HRT) can also provide relief for some women, but it’s vital to have a detailed discussion about its potential side effects with a healthcare provider before commencing this treatment.

Moreover, it’s of paramount importance to seek professional medical help if the itching is persistent, severe, or becomes intolerable. Sometimes, intense itching can be an indication of other underlying medical issues, including liver or gallbladder diseases. Therefore, it’s always prudent to have such symptoms evaluated by a healthcare professional to rule out other potential health concerns.
The ‘itch factor’ is a critical but frequently neglected aspect of the menopause experience that deserves more attention, understanding, and research. By acknowledging and addressing this symptom, we can better support women during this complex life transition, promoting a more comprehensive and empathetic approach to menopausal health. The ‘itch factor’ should not be dismissed as a minor annoyance; instead, it should be recognized as a significant part of the menopause discussion that warrants serious consideration and appropriate management.