Hyperpigmentation and Melasma
February 2009
in “
Springer eBooks
”
TLDR Hyperpigmentation is common in pregnancy and may not fully fade after birth; melasma, also frequent, can persist but has limited treatment options during pregnancy.
The document highlights that hyperpigmentation is a common condition during pregnancy, affecting up to 90% of pregnant women, especially those with darker hair and complexions. It often begins early in pregnancy and may not completely fade postpartum. Melasma, also known as "the mask of pregnancy," affects 45-75% of pregnant women and is more common in those with dark hair, brown eyes, and darker complexions. It is characterized by tan to dark brown patches on the face and is influenced by UV light, oral contraceptives, genetics, and certain medications. Although melasma typically fades within a year after delivery, it can persist in some cases. Treatment options during pregnancy are limited, with a focus on sun avoidance and sunscreen use, while postpartum treatments include bleaching agents, antioxidants, chemical peels, and laser therapy, with varying degrees of success. Hydroquinone and tretinoin are advised to be used with caution during pregnancy. The document does not specify study sizes but references various studies and reports.
