Nairobi, June 7 -- Hot flushes, weight gain and vaginal dryness are among the most common signs of menopause. But the changes do not stop there. The skin also undergoes noticeable changes, including wrinkling, thinning, dryness, acne flare-ups, and hyperpigmentation.

Oestrogen plays a major role in maintaining healthy and youthful skin, says Dr Gacheri Kathiri, a dermatologist based at Meru Teaching and Referral Hospital.

"During menopause, falling oestrogen levels contribute to reduced collagen and elasticity. The skin becomes thinner and drier, making signs of ageing more visible, such as wrinkles and changes in texture," she says.

In tropical countries like Kenya, she adds, these effects are often worsened by long-term sun exposure,...