This discussion sheds light on a less commonly recognized symptom associated with perimenopause: persistent ear itching. Many individuals entering their late thirties or early forties might experience unexpected bodily changes, and while chin hairs or skin dryness are often discussed, the phenomenon of itchy ears frequently goes unmentioned. This article aims to explore the underlying causes of this discomfort, linking it to hormonal shifts during perimenopause and offering practical advice for relief, based on expert insights.
A personal account highlights the unexpected nature of this symptom. The author, at 37, initially dismissed various bodily changes, including the emergence of coarse facial hair and, more recently, an intense itch deep within her ear. Despite a history of excessive earwax, the itching was a novel and puzzling development. Her perception shifted after hearing a podcast where a guest, Jennifer Lawrence, apologized for scratching her ear, prompting host Amy Poehler to suggest it could be a sign of perimenopause. This revelation sparked the author's investigation into the connection between ear itching and hormonal transitions.
Medical professionals confirm that increased itchiness can indeed be a manifestation of perimenopause. Kara McKeown, a physical therapist and certified menopause coach, explains that the decline in estrogen levels, a hallmark of perimenopause, impacts the entire body, leading to widespread dryness, including the ears. Estrogen is crucial for collagen production and maintaining natural skin oils. Its reduction can result in decreased skin elasticity, firmness, and moisture retention. Furthermore, perimenopause can heighten bodily inflammation and increase histamine sensitivity, contributing to discomfort. Even hot flashes, a well-known menopausal symptom, can cause skin to stretch and itch due to heat sensitivity.
Dr. Nora Lansen, a Menopause Society-certified clinician, elaborates on the role of estrogen. She notes that skin possesses estrogen receptors, meaning this hormone directly influences skin cell physiology and overall skin health. Estrogen is vital for skin's elasticity, firmness, wound healing, and moisture balance. As estrogen levels fluctuate and gradually diminish during perimenopause, these protective benefits are compromised, making the skin, including that in the ear canal, more susceptible to dryness and irritation.
While itchy ears aren't an absolute indicator of perimenopause, their occurrence in individuals of the appropriate age range, alongside other symptoms, strongly suggests a hormonal link. McKeown emphasizes that just as general body skin can become dry and itchy, the ear canal is equally vulnerable. She notes that while it's one of the less recognized perimenopausal symptoms, it is a genuine possibility. Regarding self-treatment, the common habit of using cotton swabs for ear itching is discouraged. Although it might offer temporary relief, it can exacerbate the underlying dryness by removing protective oils. Instead, McKeown recommends applying a thin layer of gentle, unscented moisturizer to the outer ear canal. For those experiencing hot flashes, maintaining coolness and avoiding harsh skin and hair products can also help. If at-home remedies prove ineffective, consulting a physician is advised, as they may prescribe treatments, including estrogen therapy, which can sometimes alleviate dry skin symptoms.