Perimenopause and itchy ears: what’s the connection?

When you think about the symptoms of perimenopause, itchy ears might not be the first thing that comes to mind. However, this surprising issue is more common than you’d think. While many women are prepared for hot flashes or mood swings, the sensation of persistently itchy ears can catch you off guard. Let’s explore why this happens and what you can do about it.

Why do my ears itch during perimenopause?

Itchy ears during perimenopause are often linked to hormonal fluctuations. As oestrogen levels begin to decline, your body experiences a range of changes that can affect skin health, including the skin inside your ears. Reduced oestrogen impacts your skin’s ability to retain moisture, leaving it dry, sensitive, and prone to irritation.

In addition to dryness, the skin inside the ear canal is delicate and can become inflamed due to:

• Changes in oil production: Hormonal shifts can reduce natural oil production, which protects the skin inside the ear.

• Increased sensitivity: Fluctuating hormone levels can heighten sensitivity to allergens, products, or even earwax buildup.

• Stress and anxiety: Emotional and physical stress common during perimenopause can exacerbate skin irritation and itching.

Other possible causes of itchy ears

While hormonal changes are often the culprit, itchy ears can also stem from:

• Eczema or psoriasis: These skin conditions can worsen during perimenopause.

• Allergic reactions: Sensitivity to earrings, hair products, or ear drops may trigger itching.

• Infections: Fungal or bacterial infections can cause discomfort and itchiness.

• Earwax buildup: Excess wax or attempts to clean the ears aggressively can irritate the ear canal.

It’s essential to rule out other medical conditions before assuming perimenopause is the cause.

Tips to manage itchy ears during perimenopause

If itchy ears are becoming a nuisance, these practical solutions can help soothe the discomfort:

1. Keep your ears moisturised

Use a gentle, fragrance-free moisturiser or natural oils like olive or coconut oil to keep the skin hydrated. Be sure not to insert anything deep into the ear canal.

2. Avoid irritants

Switch to hypoallergenic earrings and avoid hair products that could seep into your ears. Always check the ingredients of ear drops or sprays.

3. Practice gentle ear care

Avoid over-cleaning your ears. Use a soft cloth to wipe the outer ear and let your body’s natural mechanisms manage internal earwax.

4. Stay hydrated

Drinking plenty of water helps combat dryness throughout your body, including your skin and ear canals.

5. Use soothing remedies

Natural remedies like aloe vera gel or diluted tea tree oil may reduce irritation. Always patch-test first and avoid introducing anything into your ear without consulting a healthcare professional.

6. Manage stress

Stress can worsen itchiness, so prioritise self-care through mindfulness, yoga, or other relaxation techniques.

When to see a doctor

Persistent itchy ears may require professional evaluation. Seek medical advice if:

• The itchiness is severe or accompanied by pain, discharge, or hearing loss.

• You suspect an infection or have a history of skin conditions.

• Over-the-counter treatments don’t alleviate symptoms.

Finding relief and regaining comfort

Itchy ears during perimenopause might be an unexpected symptom, but with the right care and awareness, you can manage it effectively. Remember, every woman’s journey through perimenopause is unique, and what works for one person might not work for another. Keep experimenting with gentle solutions and consult professionals when needed to find relief.