Will Changing to a Different Pill Help my Melasma?

Melasma can is aggravated by sun and hormones, so being on the oral contraceptive or becoming pregnanct can start or aggravate melasma. It is worth switching oral contraceptives, possibly to a lower dose estrogen or to an IUD. Speak to your dermatologist about the best sunscreens and fading creams, as well as possibly considering chemical peels and microdermabrasion.

I have had a number of patients change birth control pills to try to help their melasma, at times it has helped and at other times if has not. It is certainly worth a try, but since the exact cause of melasma is unknown, there is not a specific pill to recommend as better for people with melasma. We do know that times of hormonal change (pregnancy, going on the pill, etc.) often trigger or worsen melasma. Stopping the pill altogether may help as well, but of course should be discussed with you OB/GYN since the pill is not only used to prevent pregnancy but also to treat a number of medical conditions.

There are a number of prescription and procedural treatments for melasma (with varying effectiveness) available if you need to stay on the pill or changing pills does not help. Consult with a board-certified dermatologist to find out about your options.