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Published on: 2/2/2026
In the first one to two years after menopause, most of an up to 30% decline in collagen occurs due to the abrupt fall in estrogen, impacting skin elasticity, joints, and bone strength. There are several factors to consider to slow this, including individualized menopausal hormone therapy, protein and vitamin C, resistance training, daily sun protection, and knowing when to see a doctor. See below for important details and next steps that could affect your healthcare decisions.
Collagen loss is one of the most noticeable—and misunderstood—changes that can happen during early menopause. Many women are surprised to learn that a significant portion of collagen decline can occur in a relatively short window, often within the first one to two years after menopause begins. This isn't a marketing myth or beauty-industry exaggeration. It's a well-documented biological effect tied closely to hormonal change.
This article explains why collagen loss accelerates so quickly in early menopause, what that really means for your skin, joints, and overall health, and what you can realistically do about it—without panic, but without pretending it doesn't matter either.
Collagen is the most abundant protein in the human body. It acts like scaffolding, giving structure and strength to many tissues.
Collagen is essential for:
From your mid-20s onward, collagen production slowly declines. That's normal aging. What's not gradual is what happens during early menopause.
The key player here is estrogen.
Estrogen:
When estrogen levels drop sharply during menopause, collagen production doesn't just slow—it drops abruptly.
Research consistently shows that:
This is why early menopause often feels like a sudden shift rather than a slow transition.
This rapid collagen loss is not caused by "bad habits" or neglect. It is a direct biological response to hormonal change.
Collagen loss is often talked about in terms of wrinkles, but its effects go far beyond appearance.
These changes don't mean something is "wrong" with you—but they are signals that your body is adapting to a new hormonal environment.
If menopause occurs earlier than average (before age 45), collagen loss may feel more pronounced.
Possible reasons include:
This doesn't mean damage is inevitable. It does mean early awareness matters.
To avoid unnecessary worry, it's important to clarify a few things.
Collagen loss:
It is a meaningful biological change that benefits from informed, balanced action.
There is no single solution, but several evidence-based approaches can help support collagen levels and tissue health.
For some women, menopausal hormone therapy (MHT) may help slow collagen loss by partially restoring estrogen's protective effects. This is a medical decision that must be personalized based on:
This is something to discuss carefully with a doctor.
Your body needs raw materials to maintain collagen.
Focus on:
Collagen supplements may help some people, but they work best as part of an overall nutrition plan—not as a stand-alone fix.
Weight-bearing and resistance exercises:
Even moderate, consistent activity makes a difference.
The idea of losing 30% of collagen can sound alarming. But information is power—not a reason to panic.
What matters most is:
Many women don't connect joint pain, skin changes, or muscle weakness to menopause at all. As a result, they miss opportunities to address the root cause.
If you're experiencing symptoms like these and want to better understand whether they might be related to hormonal changes, a free Peri-/Post-Menopausal Symptoms checker can help you identify patterns and prepare for a more informed conversation with your doctor.
While collagen loss itself is not an emergency, some related symptoms should not be ignored.
Speak to a doctor promptly if you experience:
Anything that feels serious, rapidly worsening, or life-threatening should always be evaluated by a qualified medical professional.
Collagen loss during early menopause is real, measurable, and driven largely by estrogen decline. The first two years are a critical window when changes happen fastest—but that also means this is a time when informed action can have meaningful benefits.
You are not "aging overnight," and you are not powerless. With the right knowledge, supportive habits, and medical guidance when needed, it's possible to protect your health, function, and quality of life well beyond menopause.
And remember: you don't have to figure it out alone. If something doesn't feel right, speak to a doctor and get advice tailored to you.
(References)
* Brincat MP, Baron YM, Galea R. Effect of menopause on skin aging. Climacteric. 2005 Jun;8 Suppl 1:11-23. PMID: 16147639.
* Shuster R, Black S, Thapar PD, Kligman JC. The effect of menopause on skin: a review. J Am Acad Dermatol. 2011 May;64(5):981-96. PMID: 21515276.
* Pham L, Reus JNE, Alper JM. Menopause and skin: From basic insights to clinical management. Climacteric. 2016 Apr;19(2):162-73. PMID: 26649852.
* Raghubir SR, Draelos SE. Estrogen deficiency and the skin. J Cosmet Dermatol. 2018 Dec;17(6):917-927. PMID: 30141097.
* Castelo-Branco SC, Vicandi ES, Duran LC, Sanjuan FH, Bacci REAG, Montaner JBHM. Skin collagen in postmenopausal women with osteoporosis treated with hormone replacement therapy. Climacteric. 2000 May;3(2):93-7. PMID: 18079899.
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