Hormonal Hyperpigmentation: What to Know

Hormonal shifts can stimulate pigment-producing cells, creating flat brown or grey-brown areas on the face or other exposed skin. Pregnancy, hormonal contraception, thyroid conditions, irritation, acne, and sunlight may influence the pattern. [Dark Patches On Skin](/symptoms/dark-patches-on-skin/) can have many causes, so colour, location, surface change, itch, and timing help a clinician distinguish them. Pigment may sit in different skin layers, which affects how quickly it responds.

Use broad-spectrum sun protection, shade, and a hat, and reapply protection as directed during outdoor exposure. Choose gentle, fragrance-free products and avoid picking or harsh scrubs that can add inflammation. A clinician may consider [Hydroquinone Treatment](/treatments/medical-dermatology/topical-hydroquinone-therapy/), [Chemical Peel](/treatments/aesthetic-procedures/chemical-peel/), or other options such as [Skin Brightening Treatment](/treatments/aesthetic-procedures/skin-brightening-treatment/). [IPL Photofacial](/treatments/laser-and-energy/ipl-photofacial/) and [Picosecond Laser Treatment](/treatments/laser-and-energy/picosecond-laser-treatment/) are not suitable for every pigment pattern or skin tone; professional assessment helps reduce irritation and rebound darkening.

Arrange a skin assessment for a new, changing, asymmetric, bleeding, crusted, painful, or persistently itchy dark area. Seek advice if pigmentation begins soon after a medicine or cosmetic product, spreads quickly, or does not match your usual pattern. Urgent review is appropriate for rapidly changing lesions or significant swelling.

Does this look hormonal, melasma-like, or another form of pigmentation? Which ingredients and procedures suit my skin tone? How should I protect my skin during treatment? Could contraception, pregnancy, a medicine, or irritation be contributing?