What are the 'luteal uglies'? And how they're affecting women (BBC News)

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Publisher: BBC News · Published: August 3, 2026 · Accessed: August 14, 2026

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The luteal phase is the second half of the menstrual cycle, ending when the period arrives; women on TikTok describe a 'luteal uglies' pattern of changes in appearance and mood during it (a viral POV video has 2.4 million views).
Dr Louise Newson (GP and women's hormones specialist): when oestrogen drops in the luteal phase, women can experience a shift in appearance, sleep and mood – 'our hormones affect our skin, they affect our collagen, so a lot of people find their skin becomes drier, their complexion not so bright, they might have acne and spots. They might get bloating and breasts can change shape.'
Dr Helen O'Neill (associate professor in reproductive and molecular genetics, University College London): when oestrogen falls in the days before the period and progesterone rises, oil production in the skin ramps up, and the body holds on to more fluid – puffier face, general bloating, tender and swollen breasts.
Luteal-phase symptoms can include lethargy, low mood, clumsiness, forgetfulness and social withdrawal; Dr Newson: 'These women are genuinely suffering and it's affecting their ability to work, function, socialise and just exist.'
What can help: understanding it is a predictable, temporary phase; nutrition and hydration (reduces puffiness); easing off salty foods; reducing alcohol; keeping up movement; steering clear of processed foods and alcohol to limit inflammation.
Dr Newson on seeking help: see a health professional if you are particularly struggling, and advocate for yourself – 'If people don't get what they think is acceptable in the first, second, third appointment they should go and see someone else. These symptoms don't usually go on their own.'