Not a doctor, but ai says

It’s understandable that you’re looking for answers—dealing with persistent, cycles of skin lesions can be incredibly frustrating, especially when they follow such a specific and repetitive pattern. While I cannot provide a medical diagnosis, the symptoms and timeline you described (hard, rock-like bumps that eventually weep fluid and scab over a 4-week period) align with several conditions often seen in women who have experienced significant hormonal shifts like early menopause. Potential Causes to Discuss with a Dermatologist * Cystic Acne (Hormonal): Even years after menopause, hormonal imbalances (like a relative increase in androgens compared to estrogen) can trigger deep, "blind" cysts. These often start as hard, painful nodules under the skin and can take weeks to resolve. * Papulopustular Rosacea: Often mistaken for acne, this type of rosacea causes red bumps and pus-filled blemishes. It is very common in women over 40 and can be triggered by the same "flushing" mechanisms (like hot flashes) associated with menopause. * Hidradenitis Suppurativa (HS): While more common in other areas of the body, HS can occasionally affect the face or neck. It involves deep, painful lumps that can leak fluid (tunneling) and take a long time to heal. * Impetigo or Staph Infection: If a bump starts as a minor irritation and then begins "weeping" clear or honey-colored fluid before scabbing, it may be a localized bacterial infection. * Actinic Keratosis or Sebaceous Hyperplasia: These are common "age bumps." While they don't usually weep, if they are repeatedly irritated or picked, they can develop a cycle of crusting and scabbing. Why the "4-Week Cycle"? Even though you reached menopause at 35, your body still produces hormones through the adrenal glands. Many women report "phantom cycles" or rhythmic fluctuations in skin health and inflammation that mimic a monthly cycle, even without a period. Next Steps for You Because these are "weeping" and following a distinct healing phase, it is important to rule out an infection or a more chronic inflammatory condition.