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Brittle nails in midlife: causes and what helps

Brittle nails are common in women over 50. Nails grow more slowly and lose some of their natural fats with age and after menopause. Protecting nails from water and moisturizing them are the main steps, while biotin and nail hardeners have only small studies behind them.

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See a doctor if a nail lifts from the nail bed or develops grooves, or the skin around it is red, swollen or sore. Thick or yellow nails also need checking. See a doctor promptly about a new dark line or band in a nail. This matters most if it is wide or irregular, or the skin beside it darkens.5 Also mention brittle nails if you have signs of a thyroid problem or anemia.

What it is and how common it is

Brittle nails split, peel in layers, crack or break easily. Fingernails are affected more often than toenails.1

Up to 20% of people have brittle nails, most often women over 50.1 Nail fragility is a normal part of aging, so most cases are not a sign of disease.1

Why it happens in menopause

Nails grow more slowly with age. Each part of the nail is exposed for longer to water, dry air and hand sanitizer, which dry it out.2

Nails also contain fats, such as cholesterol sulfate, that help keep them flexible. These fall with age, especially after menopause.1

The bonds between nail cells may be naturally weaker in women than in men, which could explain why women are affected more.1 Whether falling estrogen plays a direct role is not clear.

What else can cause it

Most brittle nails have no single cause. A doctor may check for:

  • fungal infection, especially if nails are also thick or yellow2
  • thyroid problems, both overactive and underactive1,2
  • anemia, low iron or other nutrient deficiencies1,2
  • skin conditions such as psoriasis, lichen planus or eczema1
  • poor circulation, including Raynaud's syndrome1,2
  • some medicines, such as retinoids and chemotherapy1

Frequent wetting and drying of the hands is one of the most common outside causes.1

Everyday measures

  • Moisturize often. Use hand cream after washing or sanitizing, and a heavy cream at bedtime. Some people add a layer of petroleum jelly on top overnight.2
  • Protect from water. For wet work, wear cotton gloves under vinyl gloves.1
  • Keep nails short. Long nails dry out and break more easily.1,2
  • Go easy on manicures. Gel removal damages nails. If you use polish, choose a formaldehyde-free one, and avoid products with alcohol.2
  • Leave cuticles alone. Keep them moisturized rather than cutting them.2
  • Eat enough protein. Drinking extra water or eating gelatin will not improve nails.2

Changes take time. A whole nail needs months to grow out, so results show slowly.2

What helps: options rated

OptionEvidenceWhat the research shows
Moisturizers and overnight creamsSome evidenceRecommended by nail experts, usually combining greasy ingredients such as petrolatum or lanolin with water-binding ones such as glycerin. Controlled trials are lacking.1,2
Limiting water and detergent contactSome evidenceReviews recommend gloves and less wet work because repeated wetting and drying is a known cause. This rests on expert advice rather than trials.1
Treating an underlying causeSome evidenceWhen brittleness is caused by a thyroid problem, deficiency, infection or skin condition, treating that cause comes first.1
Biotin supplementsWeak evidenceSmall studies found firmer, thicker nails, but they were poorly controlled and larger trials are needed.1,3 High doses can distort blood tests, including thyroid, heart and pregnancy tests.1,4
Nail hardeners and strengthening lacquersWeak evidenceA few products have small studies, but reviewers say more data are needed to confirm they work.1
Collagen supplementsWeak evidenceOnly open-label data without a comparison group have been published for nails.1

Ratings explained: how we rate. Always talk to a doctor or pharmacist before starting a medicine or supplement.

Related

Sources

  1. Pathogenesis, clinical signs and treatment recommendations in brittle nails: a review, Dermatology and Therapy (2019)
  2. Brittle nails: causes and treatment, Cleveland Clinic Health Essentials
  3. Biotin for the treatment of nail disease: what is the evidence?, Journal of Dermatological Treatment (2018)
  4. The trouble with biotin supplements, Consumer Reports (2017)
  5. Melanoma can strike your nails: here is how to check (American Academy of Dermatology news release), HealthDay (2021)