What should you know about melasma during menopause?

Melasma often forms tan, brown, or grey-brown areas on the cheeks, forehead, nose, or upper lip. It commonly appears on matching areas on both sides of the face and has a smooth surface rather than a lump or open sore. Hormonal change may influence pigment, but daylight and visible light can also make patches darker.

Menopause itself includes the end of menstrual periods after the transition, but a facial patch should not be used to diagnose it. Symptoms such as hot flushes, night sweats, vaginal dryness, or mood changes have their own possible explanations. A clinician can assess the skin pattern and review medicines, skincare, and hormone history.

Use sunscreen consistently and combine it with shade, a wide-brimmed hat, and protection from strong daylight. Reapply according to the product directions, particularly during outdoor time. Keep cleansing and moisturising gentle, because stinging or inflammation can leave pigment more noticeable.

If the patches bother you, a dermatologist can discuss prescription creams, supervised procedures, or a layered approach. The right choice depends on skin tone, sensitivity, pregnancy possibility, medicines, and the exact diagnosis. Take photographs in similar lighting so gradual changes are easier to discuss at review.

Book an assessment if a patch is new and one-sided, changes quickly, becomes raised, develops a crust or sore, bleeds, or causes persistent pain or itch. Get advice if a product causes swelling, blistering, severe burning, or a widespread rash rather than continuing it.

Ask what features support melasma, whether the mark needs another examination, how to protect against daylight and visible light, and which treatments are suitable for your skin. If you use menopause treatment, ask whether it changes the risks or choices for your pigmentation plan.