Perimenopause is the 5–10-year window leading up to menopause, when estrogen and progesterone levels start to fluctuate and decline. These hormones play key roles in keeping skin firm, hydrated, and resilient.

If you’re in your 40s or 50s and suddenly dealing with breakouts again, you're not imagining it—and you're not alone. 

Hormonal acne is incredibly common during perimenopause, the years leading up to menopause, when hormone levels start to shift.