If you’re talking about paper streamers to hang in the gym, then “crepe” is a perfectly good word. But when you’re talking about your eyes, face, neck, hands, arms and even (ugh) your knees, then it becomes something truly dispiriting.

Crepey skin, or, in medical terms, skin that has lost laxity, tends to show up more often in women than in men, and it usually becomes more noticeable with aging.

“I liken it to a warped and stretched-out rubber band that doesn’t retract back to normal, leaving the skin loose and wrinkled,” dermatologist Stacy Chimento told HuffPost. “In severe cases, the skin can appear as thin as tissue paper.”

“It’s the kind of skin you can ‘pinch and gather,’” plastic surgeon Tanuj Nakra told HuffPost.

The thinner the skin to begin with, the more vulnerable it is to the ol’ pinch and gather. And if there’s a spot you’ve always ignored, watch out. “I always tell younger women that I wish someone told me when I was their age that my arms would get wrinkles,” Joan Sutton, CEO and founder of 707 Flora, told HuffPost. “I’m over 50, and I’ve been diligent about staying out of the sun, using good skin care and getting facials regularly, so my face and decolletage look good — but I neglected my arms, and now I feel like I’m fighting to hold back the crepey skin in those areas.”

What in the world is going on here? Mostly, the passage of time. If you’ve hung around the planet for enough revolutions around the sun, you’re likely to notice skin like this somewhere on your lovely self.

“By the time people reach 50, or sometimes even at younger ages, the skin experiences degradation or loss of collagen and elastin/elastic fibers,” dermatologist Jeremy Brauer told HuffPost. “That results in compromised resiliency and increased fragility in the skin.”

For every time you forgot to put on sunscreen, there might be some new crepe creep happening. “Excessive sun damage is a key factor for accelerating the breakdown of elastin in the skin, which gives it that natural snapback,” Chimento said.

For women, lucky us, there also are hormonal issues at play. “The ovaries gradually decrease estrogen production starting in perimenopause, which typically begins around age 40,” Bryan Barron, content and research director at Paula’s Choice, told HuffPost. “The decline in estrogen leads to further loss of collagen, fragmentation of elastin fibers, reduced capacity for skin to hold on to water and thinning of skin’s surface layers, due to a slowdown of hyaluronic acid and ceramide synthesis.” And once these losses begin to occur, the skin needs more help than ever. “That decline in estrogen leaves unprotected, exposed skin even more vulnerable to environmental damage, increasing the need for daily UV protection with a broad spectrum sunscreen,” he said.

And if you’ve done your best to stay in shape, here’s some bad news: “I see many over-50 women who are thin and fit, but that can make the skin look much more aged and crepey,” dermatologist Sheila Farhang told HuffPost. Because a lower overall body fat percentage means a smaller overall “facial volume,” Farhang says that fitter or thinner people often will have less fat around areas like the temples, eyes, mid-cheek and lower face. “Fat pads usually hold everything up and together,” she said. “Less fat, especially in these areas, can contribute to crepey skin in mature women.”

The experts we spoke with had a number of suggestions for lifestyle changes you can make to help reduce crepey skin. The top one was wearing sunscreen year-round on any part of your body that’s exposed to the sun.

If you smoke, well, you know what we’re going to say: “Quit as soon as possible,” Barron said. “Smoking deprives skin of the nutrients it needs to repair itself. Also, moderate your intake of caffeine and alcohol, both of which dehydrate skin and exaggerate a crepey texture.” Dermatologist DiAnne Davis pointed to smoking and other air pollutants as contributing factors: “They produce free radicals that can damage plump, healthy skin cells, and that can lead to crepeiness,” she told HuffPost.

“It’s also important to maintain a healthy weight,” dermatologist Deanne Mraz Robinson told HuffPost. “Fluctuations of big gains and losses can cause the skin to stretch and retract, wearing down the elasticity.”

Take it easy when you clean up, too, dermatologist Seemal R. Desai told HuffPost: “It’s a good idea to avoid excessively hot showers.” Barron suggested using a gentle, moisturizing body wash. “You don’t want to use highly fragranced shower gel or worse, bar soap.” He recommended Dove Sensitive Skin Body Wash. “It produces a skin-smoothing, creamy lather that won’t leave skin depleted,” he said. You’ll also want to avoid harsh body scrubs that scratch and tear at already delicate skin. “Crepe-like texture can’t be scrubbed away,” he said.

And since what you put into your body tends to be reflected on the outside, many of the experts we spoke to urged increasing water intake and eating a balanced, healthy diet, both of which can contribute to overall skin wellness. You may want to consider supplements, too. “More studies are emerging supporting collagen supplements, and I usually recommend them for my over-50 patients,” Farhang said.

If you’d like to work with a dermatologist for in-office treatments, here are some of the most popular ways people address crepey skin:

Fractionated radiofrequency: “The No. 1 procedure in my office for crepey skin is fractionated radiofrequency with microneedling, such as Inmode Morpheus8, which stimulates collagen production,” Farhang said.

Ulthera: “This uses targeted ultrasound energy to heat the supporting tissues below your skin. This intense heat breaks down some of the cells and stimulates the growth of collagen to tighten your skin,” Robinson said.

Fraxel and Pico: “These laser therapies use heat to create columns of injury to the skin, which will stimulate the growth of new collagen. This helps support your skin and smooth out wrinkling from the inside out,” Robinson said.

Dermal fillers: “The Food and Drug Administration (FDA) has approved Restylane Lyft, a hyaluronic acid filler traditionally used in the face for use in the hands, which is a commonly affected area of the body for crepey skin,” Robinson said. “I use a hyper-diluted Radiesse dermal filler to the chest, arms and above the knees,” Farhang said.

Just in case you know a Zoomer who’s eager to hear your skin care advice, or if you plan to return to earth in another life and take much better care of your skin, keep these words from Chimento in mind: “It’s best to start treating the body as carefully as the face as early as your 20s.”

Finally, remember this: “It’s not so easy getting older, and as women, we tend to put a lot of pressure on ourselves for how we look,” Sutton summed up. “I’ve been concerned about aging since I was 30, which is a crazy thought to me now, at age 51. I’m still chasing youthful skin, but I’m also embracing the imperfections that come with age and that have taken me decades to create.”

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Arianna Sholes-Douglas remembers the moment her body was in the grips of perimenopause ― though she didn’t recognize it for what it was at the time, despite being an OB-GYN and integrative health physician focusing on women’s health. Sholes-Douglas was performing a C-section, a surgery she estimates she had done over a thousand times, and her brain just blanked.

“I had a total brain freeze. I couldn’t remember what to do,” she recalled. “It was very scary, and I didn’t know who to talk to or what to do.”

At first, she worried it was early-onset Alzheimer’s. But the big changes she’d been experiencing in cognitive function were hormonal. She was going through perimenopause, the transitional period before menopause when a woman’s body starts making less estrogen until eventually her ovaries stop releasing eggs.

And she’s not alone about being in the dark. Many Gen X women and cusp millennials — who are at the age range when perimenopause has begun or could soon start — have far too little support and information.

“We haven’t been educated. Patients haven’t been educated. Doctors haven’t been educated. There really hasn’t been a resource that’s been reliable for women, so they are caught off-guard,” said Sholes-Douglas, who went on to write the book “The Menopause Myth: What Your Mother, Doctor, and Friends Haven’t Told You About Life After 35.”

“Because in their minds, they’re thinking menopause is an old lady issue,” she added. “They think it’s only relevant when they stop having a period.”

But that’s not true. So here are three important things “Xennial” women should know about perimenopause:

There aren’t lines around when perimenopause begins, in part because it varies by individual and also because the types of symptoms are so broad. The term perimenopause really just means “around menopause.”

It’s also a stretch of time that can drag on for a while. Many women start to experience symptoms five or even 10 years before they stop having a period (though the average is about four years). And given that full menopause can happen when women are in their 40s or 50s, perimenopause can begin when they’re in their early 40s or even mid-30s.

“Since 5% to 7% of women are fully menopausal by age 45 (they’ve gone that magical full year without a period), they could be experiencing these symptoms at age 40, not thinking a thing about menopause — because these symptoms can be very vague and don’t come with a big sign ‘You are entering perimenopause,’” said Mary Jane Minkin, an OB-GYN with Yale University and founder of the informational website Madame Ovary.

If you’re a woman in your 30s or 40s who is planning to have children (and many women are) and you’re fretting that you might instead enter perimenopause, don’t freak out. It’s very much still possible for women to get pregnant during this phase, though it’s definitely worth bringing up with your doctor if you have concerns.

When most people think menopause, they think of hot flashes. And many (if not most) women getting closer to menopause will experience hot flashes, or brief feelings of being overheated, at some point — ranging from pretty mild to really severe.

But there are so many other symptoms that can come along with perimenopause, including missed periods or periods that are heavier or lighter than usual, mood swings, changes in cholesterol levels and bone density, urinary incontinence and cognitive fuzziness.

“Many [women] get disrupted sleep ― usually falling asleep quickly as they are exhausted, but are then up at 1 a.m., sometimes with a hot flash, sometimes without. They may have headaches, they may be achy, they may have some vaginal dryness or urinary leakage (although that usually comes later),” Minkin said.

Perimenopause can affect your sexual health and well-being, as well. “The sexual aspect part of perimenopause is something I deal with a lot,” Sholes-Douglas said. “Women are very much caught off-guard when they experience a decline in libido, vaginal pain, vaginal dryness — and they don’t know why.”

But while the possible symptoms associated with perimenopause are wide-ranging, they all really come back to the hormonal changes women go through in the run-up to menopause, as estrogen and progesterone levels fall — or rise and fall in uneven spikes.

Though there’s far more information available to women and health care providers now than had been the case a few decades ago, and many active support communities have flourished, perimenopause is still something women aren’t adequately educated about, according to experts.

Minkin said Gen X women are probably “slightly better prepared, but not dramatically so.” Sholes-Douglas was more emphatic: “Most women are just not prepared.”

There are a few reasons for this, one of which is that there simply isn’t a test doctors can perform to see if women have entered perimenopause.

“Hormone levels may not show much,” Minkin said. For example, a doctor might do an estradiol test to check your estrogen levels, but since normal levels during a menstrual cycle range wildly (from 45 to 350 picograms per milliliter), it’s hard to know where your level should be.

“Let’s say we draw a blood level of 50. Well, is that normal? It may be. But if your level should be 300, that’s low,” Minkin explained.

“It’s a tough diagnosis to make at the time,” she added. “When the patient goes that year without the period, you can then say, ‘Well, hey that was all perimenopausal!’”

On top of which there is a lack of consensus about how to treat symptoms of perimenopause even if it is clear that’s the issue. Hormone therapy, which involves taking supplemental hormones, is one option, but some past studies have indicated it can come with other health risks. Some doctors might recommend lifestyle changes to help manage symptoms; in other cases, women might take medications to more directly address such symptoms as vaginal dryness or mental health changes.

Unfortunately, a lot of this ends up falling on women. They end up needing to connect the dots in their own symptoms and find health care providers who have experience dealing with perimenopause. Which is why it is so important for Xennial women to be aware of what’s happening in their bodies now, or what lies just ahead.

“I’ve had countless patients tell me they went to the doctor and told them they suspected they were perimenopausal, and the doctor said: ‘Oh, you’re too young for that. You’re too young for that,’” Sholes-Douglas said.

“You should not assume that your doctor is going to know more about this than you do,” she added. “On some level, obviously they will. But don’t underestimate the power you have.”

A couple of years ago, while on a bike-packing trip through Armenia and Georgia, my friend Amy and I walked through the streets of Tbilisi. We were both 49 years old at the time, and I told her about how, over the last year, I felt as if I had become more emotional and more easily angered than I used to be and I didn’t know why.

“Ummm, perimenopause?” she said, laughing. The thought had never crossed my mind. I don’t know why perimenopause and menopause aren’t talked about more, why this huge transition in a woman’s life seems to be such a “secret” subject in polite society. Once I figured out that I was indeed in the midst of perimenopause (and I still am two years later), so many things began to make sense. I think I’ve experienced every possible symptom of perimenopause, including hot flashes, trouble sleeping, brain fog, forgetfulness, anxiety and heavier period bleeding than usual. And then there are the skin issues.

I’ve never in my life had any kind of acne, but over the past couple of years, a lone pimple would pop up every month or so. The skin on my elbows was drier than it ever used to be. And small hairs from my Eastern European heritage would show up more consistently on my chin.

I talked to some medical experts to understand some of what was going on.

Dr. Mary Jane Minkin, clinical professor in the Department of Obstetrics, Gynecology, and Reproductive Sciences at the Yale University School of Medicine and a board-certified obstetrician and gynecologist, first told me that I’d be all right. I’d make it through this transition, even if sometimes I felt as if I were going crazy. Then she explained that the cause of most of my issues was sporadic, fluctuating hormone levels.

“The way I describe it to my medical students,” Minkin said, “is that if you were to draw a picture of what hormone levels do during perimenopause, they would look like the Dow Jones industrial average in September of 2008: It went very far down but it wasn’t smooth; it was jaggedy.”

As Minkin outlined for me, during a normal Jane Doe menstrual cycle, estrogen and progesterone levels vary significantly, but usually in a regular, cyclical way. A ballpark baseline level for estrogen at the beginning of a woman’s period is 40 to 50 picograms (pg) per milliliter. A week or so before the start of the period, levels go up to a high of 300 or 350 pg per milliliter. During ovulation, the area the egg comes out of makes progesterone as well. Post-menopause, estrogen levels go below 20 pg per milliliter and stay that way while the ovaries cease making progesterone.

“And then,” Minkin said, “there’s perimenopause. That’s the tricky area, because what happens is things go really crazy.” What she meant by this is that estrogen and progesterone levels no longer go up and down in a regular way. They are sporadic, sometimes spiking, then dropping more quickly than during a normal cycle. And this causes all sorts of havoc in our bodies (and emotions).

As far as skin-related issues go, testosterone is predominantly to blame. Our ovaries, besides making estrogen and progesterone, also make testosterone. On average, the ovaries stop making estrogen at 51 years old, while testosterone production can go on until about the age of 60. “Your estrogen levels are declining, but you’re still chugging out a good amount of testosterone,” Minkin told me.

And the unwanted hair? Testosterone is to blame for that, too. “As your estrogen is reduced, testosterone becomes more prominent and may cause unwanted hair growth,” said Dr. Laura Carinci, clinical assistant professor in the Department of Obstetrics and Gynecology at NYU Langone Health.

It’s androgens (a group of hormones responsible for “traditional” masculine traits and reproductivity) that cause unwanted hair. “Some people in general have hair follicles that are more sensitive to male hormones, which anti-androgen therapy can help with,” Carinci explained.

Estrogen, on the other hand, is responsible for helping to keep collagen in our skin. When estrogen levels go down, so does collagen production, which can exacerbate wrinkles or dry skin.

So what can we do to treat skin issues related to perimenopause? Minkin encouraged women to talk to their doctor about the possibility of estrogen therapy. “A lot of my patients take estrogen because of skin issues,” she said, “because they don’t like having skin dryness and loss of elasticity, and estrogen does help.”

“The biggest thing in terms of preventing and helping yourself with skin changes really is skin protection, wearing sunblock that blocks both UVA and UVB rays, such as products with zinc and titanium oxide,” Carinci said.