Can melasma be present after menopause?
There could be two main reasons:
- 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.
- You are still using or taking estrogen in some form. Estrogen drives melasma more than any other hormone – that includes the s0-called “bioidenticals.”