Q. Is there any relationship between the onset of menopause and the beginning of rosacea?

A. While the cause of rosacea remains unknown, its signs and symptoms, especially the flushing characteristic of subtype 1 (erythematotelangiectatic) rosacea, may initially be noted while women are experiencing menopause. In these cases, alleviating the underlying flushing may help keep rosacea under control.

Some women with hot flashes counter them by air conditioning their rooms, applying cold compresses to the face or chewing ice chips. Hot flashes may also be treated with therapeutic agents. Women should consult their physicians to see which is the most appropriate method for them to manage their condition.

Q. Do you have any data suggesting one part of the United States being better than others for rosacea sufferers?

A. As noted in NRS surveys, rosacea seems to be evident from Alaska to Florida, and flare-ups may be triggered by factors present anywhere in the United States. In a recent survey, a wide range of climate conditions was cited by patients as common tripwires that prompted or aggravated their rosacea signs and symptoms. The best bet for preventing flare-ups of the disorder is to identify and avoid personal triggers. A booklet on coping with rosacea is available from the National Rosacea Society.