During menopause, in my early 50s, it took over my face.  I was so red and splotchy friends thought I was going to have a heart attack.  I had ocular rosacea, too.

My doctor suggested estrogen therapy.  I took estrogen-progestin for six months, then tapered down over two years.  (I also tried doxycycline and topical prescription gels and creams.  I felt the estrogen therapy was better at the time.)

My skin returned to normal most of the time.  Eventually, I dropped estrogen therapy altogether.

— M. Smilgis