Does birth control worsen hyperpigmentation?

Question

I developed some hyperpigmentation recently, and I've learned that birth control could cause that. I've since stopped birth control, but I want to get back on it; someone told me stopping birth control doesnt help get rid of the hyperpigmentation but my question is would going back on it make it worse? Granted I was also really inconsistent with keeping up with my birth control and I think that may have been the main reason.

Thomas Wright, MD · Answer

One the many side effects oral birth control pills can cause in new or worsening hyperpigmentation.  This is especially true if you have a skin condition called Melasma.  I would recommend you consider non hormonal forms of Birth Control such IUD, or barriers.  Please discuss with your doctors. Wishing you the best of health.

Jason Emer, MD · Answer

​Hyperpigmentation of any kind needs a combination approach of peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly,; lasers like Clear + Brilliant, Aerolase or Laser Genesis; radiofrequency like Venus Viva; and constant skin care and sun protection. Bimonthly facials with SilkPeel DermalInfusion are essential to hydrate, exfoliate and infuse vitamins and antioxidants into the skin. If you have acne you can do additional treatments and peels to get more improvement. Hypopigmentation will need more of an evaluation and possibly additional lasers to get improvement. I suggest a formal consultation with an expert in lasers and peels. Best, Dr. Emer.​

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Thank you for your question. A possible side effect of birth control pills is facial hyperpigmentation but there are other causes for hyperpigmentation as well. I highly recommend you consult with your OBGYN regarding birth control options that best suit your needs and to consult with a board certified dermatologist to have your dark spots evaluated. Take care and good luck.

Does birth control worsen hyperpigmentation?

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