Disaster or Delight? How Skin is Affected by Infertility Blog Banner Graphic

How is skin affected by infertility?  Well, that’s a complicated question, with a relatively complicated answer.  However, when we break it all down into chunks, it actually makes a lot of sense.

Before I jump into the specifics, I want to remind you that everyone’s skin is different and every person’s skin reacts differently to changes.  But what changes, you ask?  Well, everything from hormonal changes to environmental changes among others.  So, when I talk about disaster or delight, I’m talking about the skin’s positive or negative reactions to internal changes (ie. hormonal changes) or external changes (ie. environmental).

Confused?  Don’t be!  I’ve got some fascinating info to share in this post, so read on.

How skin is affected by infertility

Disaster or Delight? How Skin is Affected by Infertility

Infertility

Before I dive into hormones and how skin is affected by infertility, let’s talk about infertility and why it would have anything to do with skin anyway!

First off, what exactly is infertility?  The definition of infertility, according to dictionary.com is:

The persistent inability to achieve conception and produce an offspring.

However, when we talk about infertility in every day terms, it’s more specific.  According to the CDC:

In general, infertility is defined as not being able to get pregnant (conceive) after one year (or longer) of unprotected sex. Because fertility in women is known to decline steadily with age, some providers evaluate and treat women aged 35 years or older after 6 months of unprotected sex. 

So, infertility is an inability to conceive, but specifically within a certain timeframe.  Age is used to define it even further.

Infertility & Hormones

Now that I’ve given you a general understanding of infertility, let’s talk a little bit about how hormones play a role.

First, there are a variety of hormone disorders that can affect fertility.

  • PCOS (polycycstic Ovarian Syndrome)
  • Hyperthyroidism
  • Hypothydroidism
  • Anovulation (ovaries don’t release eggs)
  • Endometriosis
While there are plenty of other hormone disorders that can affect fertility, these are the most common.  The common factor among these disorders, is the level of the hormone in the body.  Too much, or not enough of a particular hormone causes the disorder and can affect fertility.

Hormones & Skin

But, how is skin affected by infertility?  Let’s start with breaking down the hormones involved in the disorders mentioned above.  Hormone disorders can wreak havoc on your skin, and that can cause stress, frustration, anxiety, and of course, general annoyance!  

The hormones from the disorders above that affect the skin the most are:

  1. Testosterone
  2. Insulin
  3. Thyroid Hormones (Thyroxine & Triiodothyronine)
  4. Estrogen
  5. Progesterone

But, how do these hormones affect the skin?  Well, each hormone has a different effect on the skin, but surprisingly, the effects aren’t always bad.  It just depends on the person.

The Hormones

This is where I would normally give a skin anatomy 101 lesson.  Luckily for you, I’ve already done that, so go check out this blog post to learn more about skin anatomy so you can understand my logic. 

Now that you’re a skin expert, let’s dive in and really find out how skin is affected by infertility!

First and foremost, I want to talk about sebaceous glands.  Sebaceous glands are located within the Dermis.  They are attached to hair follicles and produce sebum.  Sebum is a waxy oil made up of triglycerides, wax esters, cholesterol esters, squalene and other complex oils. Its main function is to coat, moisturize, and protect the skin from friction and excess moisture.

Testosterone

When Testosterone is released in excessive amounts, it triggers the sebaceous glands to produce more sebum.  Too much sebum can clog the hair follicles, leaving the oily substance with nowhere to go.  And what do you get when it has nowhere to go?  Acne.

Estrogen

A decrease in Estrogen has an opposite effect to the increase in Testosterone I just talked about.  Drops in Estrogen can cause thinning of the skin, wrinkles, and lack of moisture.  This results in dry, flaky, and itchy skin.  The decrease in Estrogen can also cause skin sensitivity.

Thyroid Hormones

The effect that the thyroid hormones have on the skin varies depending on whether there is too much or too little of them.  Let me explain.  Hypothyroidism is when the Thyroid gland is underactive, causing it to not secrete enough of the Thyroid hormones.  On the other hand, Hyperthyroidism is when the Thyroid gland is overactive and causes it to create too much of the Thyroid hormones.  So, an excess of the Thyroid hormones can cause skin thinning & red, swollen skin.  While not enough of the Thyroid hormones can cause dry & coarse skin with a decrease in sweating.

Progesterone

Low Progesterone can cause acne, brittle nails and dry, cracked skin.  Excess Progesterone, on the other hand, can have 2 different results.  An increase in Progesterone causes the skin to swell.  When the skin swells, it essentially closes off the pores.  When the pores are closed sebum is prevented from escaping..  The resulting increase in sebum can have 2 very opposite effects:

  1. A nice glow to the skin
  2. Oil, oil, and more oil!
Glowing skin is a nice side effect for sure, but that’s not going to be the case for everyone!  The other group will experience very oily skin, and potentially… acne.
 
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Fertility Treatments & Skin

When you’re dealing with a hormone disorder that could be causing infertility, then you are likely already dealing with some of these skin issues.  But this is only part of how infertility affects the skin.  The other part is fertility treatments.

If you are doing fertility treatments or plan to, I think it’s helpful to know that some of these skin issues can be resolved.  It’s also good to note that sometimes other skin issues can crop up.

Either way, I feel strongly that it’s important to prepare for what could happen, so that it doesn’t surprise you.  Let’s start with the different hormones that are often used in fertility treatments.

Common Hormone Treatments

  1. Clomiphene citrate, more commonly known as Clomid, is an oral mediciation.  Clomid stimulates ovulation by causing the pituitary gland to release FSH (follicle stimulating hormone) and LH (Luteinizing Hormone).  These hormones work to stimulate the growth of ovarian follicles.
  2. Gonadotropins are injectable hormones that  stimulate the ovary to produce multiple eggs. Gonadotropin medications include human menopausal gonadotropin (hMG) FSH, & human chorionic gonadotropin (hCG).
  3. Metformin is an oral medication that is used when insulin resistance is a known or suspected cause of infertility, most commonly PCOS. Metformin helps improve insulin resistance, which can improve the likelihood of ovulation.
  4. Letrozole also known as Femara works similarly to Clomid, but through a different delivery system. Letrozole may induce ovulation.
There are other hormone treatments used in fertility treatments, but these are the most common.

Potential Effects

As I mentioned before, there are good effects and bad effects, and it all depends on your skin.  Just like how every body is different, so is skin!  So, just because you fit into a certain skin type category, doesn’t mean your skin is going to react exactly the same way to hormonal changes as someone else whose skin fits into the same category.

Keeping this in mind, fertility treatments can have varied affects on skin, or alternatively, no affect at all.  Hormones are wild and do things we don’t always expect.  So, being aware of how your skin normally handles things will help if you’re going through fertility treatments and you begin to notice certain changes, be it good OR bad. 

Solution

So what can you do to conquer these skin changes?  Easy!  Make sure you are properly caring for your skin and paying close attention to any changes.  

For example, if you’re properly caring for your skin, but you start to notice that your skin is suddenly breaking out, and you’re actively going through hormone treatments, then the newly introduced hormone is the likely culprit.  This is an easy fix!  You just need to change your skin care routine and possibly your products.

So, if your skin usually errs on the side of dry but suddenly your skin is oily, then you need to switch to a product that is intended for oily skin.  This change might only be for a short time, but it’s an important change to make in order to keep your skin healthy and feeling good!

Conclusion

So, in conclusion, infertility can have many different effects on the skin, both positive and/or negative.  The best thing you can do to help with skin issues related to infertility or hormone disorders is to pay attention and change your routine as needed.

Now that you know how skin is affected by infertility, remember that t’s never too late to take better care of your skin!

For more info about infertility, check out these awesome resources.

References:

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