Can melasma be present after menopause?

I am post menopausal 7+ years and still have melasma. Why?

There could be two main reasons:

  1. Your diagnosis is wrong –  you don’t have melasma but a different pigment problem and there are many.    Many women I find, self diagnose on this.  Also, I’ve also seen some patients where I have to respectfully disagree with the prior diagnosis of another doctor.  In summary, if you have not seen an excellent dermatologist – please do that asap.  And, if you have, consider perhaps that your diagnosis may have changed or is wrong.
  2. You are still using or taking estrogen in some form.  Estrogen drives melasma more than any other hormone – that includes the s0-called “bioidenticals.”

More on melasma.

Dr. I


Dr. Brandith Irwin, MD

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