‘It was like something was crawling over me’ – the worrying rise of shingles among millennial women

by | Jul 29, 2026 | Health

‘It was like something was crawling over me’ – the worrying rise of shingles among millennial women

Medical professionals and researchers are noting a significant increase in shingles cases among younger age groups, particularly millennial women, challenging traditional assumptions about the disease’s prevalence in older populations.

A 2019 US research study documented that shingles cases among those aged 30 to 49 more than doubled between 1998 and 2017, exceeding the growth rates observed in older demographic groups. More recently, a Clinical Infectious Diseases study found that individuals aged 30 to 39 with certain health conditions—including asthma, diabetes, depression, and stress—faced higher shingles risk than immunocompetent individuals aged 50 to 59. Women experience a 56 percent higher likelihood of developing shingles across most age groups, attributed to differences in immune system functioning. Current NHS data indicates cases in the United Kingdom remain above the five-year average.

Shingles, medically known as herpes zoster, occurs when the varicella zoster virus—which causes chickenpox and remains dormant in nerve tissue after initial infection—reactivates when immune function declines. Initial symptoms typically include pain or tingling in a localized skin area, sometimes accompanied by general malaise, followed by blister formation. Approximately 20 percent of patients develop postherpetic neuralgia, characterized by persistent pain lasting more than 90 days.

Experts propose multiple factors contributing to increased shingles incidence among younger populations. Jennifer Moffat, an associate professor of microbiology and immunology, identifies lifestyle and health deterioration as key contributors, including reduced physical activity, poor dietary habits, elevated stress levels, inadequate sleep, and limited social support. Additionally, increased use of immunosuppressant medications for autoimmune conditions may elevate risk, as may recent viral infections such as COVID-19 or influenza. One hypothesis suggests that reduced chickenpox exposure in unvaccinated adults may compromise natural immunity boosters, though research indicates this theory does not fully explain observed trends.

Diagnosis and treatment timeliness remain critical concerns, particularly among younger patients who may be initially misdiagnosed. Antiviral medications are most effective when administered within 72 hours of symptom onset and are typically prescribed for 7 to 10 days. Dermatologists emphasize that early detection before rash appearance is important, as younger individuals may be overlooked for shingles despite presenting symptoms. The shingles vaccine is currently offered to those over 65 in the UK and over 50 in the US, though some medical experts advocate for expanded vaccination access to younger age groups experiencing elevated risk factors.

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