Podcast summary

Estrogen & Skin: What Really Restores Collagen

unPAUSED with Dr. Mary Claire Haver episode artwork

unPAUSED with Dr. Mary Claire Haver

Podcast • 05/19/26 • 67 mins

Listen to the full episode

Menopause triggers rapid collagen loss via estrogen

Estrogen loss after menopause changes skin at cellular receptors in fibroblasts, reducing collagen, elastin, hydration (hyaluronic acid), and oil regulation. That biology explains “overnight” texture shifts and why standard skincare can seem to stop working.

HRT may rebuild collagen, but evidence is thin

Systemic HRT has limited studies but one reports ~30% collagen increase in 12 months and another ~6% at six months. Precise quantification and head-to-head comparisons (topical vs systemic) are still missing.

Most “anti-aging” product advice is sequencing and selection

The episode stresses ingredient reality over price: use stabilized vitamin C in the morning (for antioxidant protection and collagen production), retinoids at night (tretinoin if tolerated; retinol alternatives if not), plus real sunscreen. For vitamin C, avoid overly oxidized formulas and don’t trust percent labels alone.