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Psoriasis is very trigger-heavy.
close up of woman looking at her psoriasis and a peach flower
Hormonal fluctuations are also on the list of potential triggers.
Estrogen decreases are often a time when people flare, Bhanusali adds.
As Bhanusali points out, fluctuations in our skin dont always happen due to one singular cause.
But its helpful, he says, to educate patients on the overall reasons that psoriasiscouldbe intensifying.
Is it why it’s worsening?
Not necessarily, he says.
Are you going to have a flare after pregnancy?
But if you do have one, don’t get upset it’s actually normal and expected.
High estrogen is linked to lower levels of inflammation overall, says Dr. Robinson.
According to Dr. Robinson, high estrogen has been shown to suppress cytokine production.
With less inflammation and decreased skin-cell growth, psoriasis flare-ups may begin to recede.
With the cycle in constant flux, any changes to your skin may be subtle.
Theres good news and bad news for pregnant folks: In pregnancy, psoriasis improves, says Bhanusali.
During perimenopause, the body begins to transition into menopause.
Estrogen levels decrease during this time, which means psoriasis will likely be more consistent, says Dr. Robinson.
Unlike after pregnancy, when estrogen stabilizes, perimenopause means estrogen production decreases and remains low.
And after menopause, as Dr. Robinson explains, estrogen levels are at their lowest.
Many patients will see a worsening of psoriasis symptoms and the severity of their flare-ups, she says.
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