Hi,
Your explanation is pointing towards melasma specifically as it began after pregnancy. Melasma leads to the formation of brownish to black patches over the face and occurs commonly due to hormonal imbalances.
It can occur due to causes like:
- Intake of birth control pills.
- Pregnancy and childbirth.
-
Hormone replacement therapy.
-
Hypothyroidism.
- Exposure to UV rays or overexposure to the sun.
I would suggest you
consult a Dermatologist and get evaluated and he can do a thorough clinical evaluation and investigations like Wood Lamp's test, hormonal assay and at times a biopsy to confirm the diagnosis.
Melasma is slow to respond to treatment and generally, the
depigmentation creams can lighten the pigmentation and does not resolve it completely.
In case if it is due to hormonal imbalances correction of the same can help. Cessation of hormone replacement therapy if you take any can be helpful in improvement. Limit sun exposure and always apply sunscreen lotion when exposed to the sun. As a part of treatment, you can be advised
Hydroquinone containing creams. Azelaic acid and
Kojic acid containing creams are helpful. Vitamin C oral as well as topical can help.
Metamizole containing ointments can also help.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Honey Arora,
Dentist