Conditions & Safety

Why Does Pregnancy Cause Skin Dryness?

Pregnancy changes the skin in ways that vary from person to person. Some people experience oilier skin and acne, while others find their skin becomes drier. Both are normal responses to shifting hormones.

Pregnancy is a period of significant hormonal change, and the skin is one of the places where those changes show up.

Some people develop oilier skin and acne; others find their skin becomes dry and reactive. The reason lies in how hormones affect the skin's barrier and hydration.

So why does pregnancy cause skin dryness?

It is less like a malfunction and more like a system recalibrating: the settings change, and the skin responds.

Quick answerPregnancy can cause skin dryness because hormonal changes affect the skin's barrier function and its ability to retain moisture.

Medically reviewed by Dermatology reviewer · Updated Sep 11, 2026 · 4 min read

Person with dry skin during pregnancy
CauseHormones
CommonYes
Key ChangeBarrier function
ReliefMoisturize
EvidenceGood

Key answer

Hormonal and common

Hormonal changes alter the skin barrier, leading to dryness that is usually temporary.

Evidence
Moderate - Hormonal and common
Best for
Understanding skin changes during pregnancy
Limitation
Anyone with severe itching, who should seek care

Short version

Story in brief

During pregnancy, hormonal changes affect many systems in the body, including the skin. Estrogen and progesterone influence sebum production and the skin's hydrolipidic film, which is the protective layer that helps retain moisture.

When this film is altered, the skin's barrier function can be compromised, leading to increased water loss and dryness. Some women experience this as dry, tight, or sensitive skin, while others experience oilier skin and acne.

The dryness is usually manageable with gentle skincare and moisturizing. It typically resolves after pregnancy. However, severe itching during pregnancy, particularly on the palms and soles, should be evaluated by a healthcare provider as it can indicate intrahepatic cholestasis of pregnancy.

Mental model

Visual explanation

Evidence

What the evidence shows

Pregnancy dryness is driven by hormonal changes to the skin's barrier, not by a lack of drinking water alone, though hydration still helps.

  • Mild dryness?

    Moisturize with gentle products
  • Persistent itching?

    Report to your healthcare provider
  • Severe itching on palms or soles?

    Seek medical evaluation promptlyMay indicate cholestasis.

Use this section to decide

Does this advice apply to me?

Find the concern or goal closest to yours, then use the fit signal to decide how much weight to give this guide.
Strong fit means the advice is central to that goal.Depends means formula, tolerance, or context matters more.Use caution means do not treat it as the main answer.
  • If your goal is

    CauseUse caution
    Fit signal
    Limited evidence

    Hormones

  • If your goal is

    CommonUsually relevant
    Fit signal
    Often useful

    Yes

  • If your goal is

    ReliefUsually relevant
    Fit signal
    Often useful

    Moisturize

  • If your goal is

    Red flagUse caution
    Fit signal
    Limited evidence

    Severe itching

Practical use

How to use it

  1. Moisturize regularly

    Use a gentle, fragrance-free moisturizer.

  2. Stay hydrated

    Drink water and eat water-rich foods.

  3. Report severe itching

    Contact your healthcare provider if itching is severe or persistent.

Safety

Side effects and cautions

  • Assuming all dryness is harmless

    Dryness is usually benign, but severe itching should be evaluated.

  • Using retinoids during pregnancy

    Retinoids are generally avoided; consult your provider.

  • Taking very hot showers

    Hot water strips oils and worsens dryness.

Fit

Who should be careful

  • Anyone with severe itching, who should seek care

Worth noting

Small details that can change the answer

  • Hormonal Cause. Estrogen and progesterone affect skin hydration.
  • Barrier. Hormonal changes can alter the skin's protective film.
  • Common. Dryness occurs in many pregnancies.
  • Red Flag. Severe itching may indicate cholestasis of pregnancy.

Pregnancy dryness is caused by hormonal changes affecting the skin's barrier.

The hydrolipidic film is altered, increasing moisture loss.

It is common and usually temporary.

Gentle moisturizing helps manage it.

Severe itching needs medical evaluation.

Science

How hormones affect skin hydration

Pregnancy hormones alter the skin's hydrolipidic film, the protective layer that helps retain moisture. When this film is disrupted, the skin loses water more easily and becomes dry.

Hydrolipidic film
The protective layer of water and lipids on the skin's surface that helps retain moisture.
Barrier function
The skin's ability to retain moisture and exclude irritants.

Explanation

Why it varies between people

Not everyone experiences dryness in pregnancy. Some women develop oilier skin and acne instead, depending on how their hormones affect sebum production and barrier function. Both responses are normal.

Avoid

What to avoid during pregnancy

Retinoidshigh

Retinoids are generally avoided during pregnancy; consult your healthcare provider.

High-dose salicylic acidmedium

Best used only with professional guidance.

Hot showersmedium

Strip natural oils and worsen dryness.

Clinical Guidance

When to seek medical care

  • Severe itching, especially on the palms and soles.
  • Itching without a rash, or that worsens at night.
  • Jaundice, dark urine, or pale stools.
  • Any skin concern that worries you during pregnancy.

Questions

Frequently asked questions

Why is my skin drier during pregnancy?

Hormonal changes affect the skin's barrier and hydration, leading to dryness.

Is dry skin in pregnancy normal?

Yes, it is a common change, though some women experience oilier skin instead.

How do I treat dry skin during pregnancy?

Use gentle, fragrance-free moisturizers and avoid hot showers.

When should I worry about itching?

Severe itching, especially on the palms and soles, should be evaluated by a healthcare provider.