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Specific causes of hives in women
Fluctuations hormonales
Estrogen and progesterone affect immunity and skin receptors.
The premenstrual phase lowers the histamine response threshold.
Pregnancy resets the immune system and increases the risk of autoimmune/allergic reactions.
Menopause leads to instability of skin immunity.
Allergy to cosmetics and personal care products.
Perfumes, preservatives (parabens, MIT), phthalates, benzyl alcohol, heating anti-cellulite creams: all of these products can cause contact urticaria.Nutrition and Supplements
Trending superfoods, protein powders, dietary supplements: whey, soy, peanuts, seafood, yeast, gluten – often the combination of “hormonal imbalance + allergen in a shake” is a winning recipe for a breakout.Role of stress:
Psycho-emotional tensions (domestic, family, professional) act as a trigger, comparable to diet or medication. Cortisol and adrenaline activate mast cells and weaken the skin barrier.Infections – not just a
cold Urethritis, vaginitis, Helicobacter pylori, candidiasis, Epstein-Barr, herpes – the chronic infectious load keeps the immune system “on alert”.
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Types of hives
Acute – up to 6-8 weeks, usually a trigger (shrimp at lunch → rash in the evening).
Chronic – attacks lasting more than 6 weeks or recurring; often multifactorial (hormones, stress, cosmetics) and with an autoimmune component. Women are particularly vulnerable during pregnancy, menopause or chronic infections.
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Warning signs
Angioedema – swelling of the face, lips, eyelids, tongue, throat (risk of suffocation).
Difficulty breathing or swallowing , wheezing, hoarse voice.
Systemic symptoms – dizziness, rapid pulse, drop in blood pressure – possible anaphylaxis.
In the event of these symptoms: emergency assistance and adrenaline if necessary.
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Diagnostic
Rash Diary – Date, Food, Drinks, Medications, Cosmetics, Stress, Temperature.
Laboratory – blood count, IgE, skin tests.
Elimination and provocation – the “exclude – observe – send back” method.
Consultation with a dermatologist/therapist – mandatory in case of chronic form and/or Quincke’s edema.
