The estimated 1 in 12 American adults living and dealing with eczema since childhood, know that avoiding flare ups and easing symptoms takes constant vigilance. Eczema flare ups can differ greatly from patient to patient On top of the common culprits—such as food and environmental allergens, additives, and chemicals—women with eczema also need to be wary of these lesser known eczema triggers, including:

1. Stress

Even though stress has always been suspect as an eczema trigger, the research between anxiety and worsening skin conditions (i.e., psoriasis and eczema) is still ongoing. While stress won’t cause a skin condition to develop, it can certainly exaggerate existing symptoms. So if you feel stress coming on, take a step back to take time out, relax, and breathe.

2. Banish perspiration quick

Sure, regular physical activity is always welcome for keeping us healthy and stress free. However, for eczema sufferers, basking in your sweaty clothes post-workout can lead to worse skin irritation, itchiness, chafing, and inflammation. Also, keep your bedroom cooler so you don’t overheat and sweat during sleep.

3. Moisturise, moisturize, moisturize

All eczema patients are aware of the importance of moisturizing skin regularly. Work with your health care team to find a deeply emollient moisturizer that works for your specific skin to prevent skin from cracking, dryness, bleeding, and inflammation.

4. Avoid fragrance

When it comes to sensitive skin perfume-fueled bubble bath, shampoos, shower gels, other personal hygiene products, and even laundry detergents can cause irritation. However, for eczema-prone skin, products that employ fragrance can trigger an ugly flare up. Instead, work with your dermatologist to select an appropriate line of fragrance-free body and hair care that’s been dermatologically-tested for those with eczema.

5. Choose fabrics with care

Let’s face it; certain fabrics (I’m looking at you wool) are never comfortable. Fabrics prone to causing skin irritations (i.e., non-breathable nylon or polyester) can trigger eczema flare ups. So splurge for breathable, loose cotton, silk, and cotton-blends that don’t trap in heat and sweat.