The Connection Between Your Birth Control And Melasma

The Connection Between Your Birth Control And Melasma

We’ve talked about what causes melasma, but now we are going to take a deep dive into how melasma and birth control (aka ‘oral contraceptive pills’) are related.

How Does Birth Control Contribute To Melasma?

Hormones are among the primary cause of melasma – especially estrogen. Elevated levels of estrogen in the body increase pigment production, and hormonal birth control works by increasing the levels of estrogen in the body. That’s why melasma is commonly seen with oral contraceptive use. One study found that 25% of women reported their melasma began after beginning hormonal birth control (Ortonne).

Several studies have been done to figure out the exact role estrogen plays in the development of this condition (Handel).

Hormonal birth control contributes to melasma in the following ways:

  • Estrogen acts directly on melanocytes (the cells that make your pigment), which in turn causes more pigment production.
  • Estrogen increases the number of melanocortin receptors in melanocytes. This makes the melanocyte cells more sensitive to sun or inflammation.
  • Estrogen also increases the expression of PDZK1, a gene that increases the levels of the pigment-forming enzyme tyrosinase. Tyrosinase is a pigment-making mini-factory that increases your skin’s capacity to create pigment.

Estrogen isn’t the only ingredient in many hormonal birth control methods. Progesterone is another common ingredient in oral contraceptives. A study looking at both affected and unaffected skin in melasma found that the affected skin had significantly increased numbers of progesterone receptors (Tamega). This means that the affected skin could also be especially sensitive to progesterone levels.

If I Stop Taking Birth Control, Will My Melasma Go Away?

Your melasma may lighten significantly if you stop taking birth control. However, if you have a family history of melasma, it’s less likely that your melasma was triggered by oral contraceptives (Ortonne).

How long does it take for melasma to go away after stopping birth control?

This varies from person to person, as some people see improvement within months and others do not. In either case, UV protective measures such as daily sunscreen, sun avoidance during peak hours (10 am – 2 pm), and wearing broad-brimmed hats are an essential part of helping melasma fade faster.

Should I Keep Taking My Birth Control If I Have Melasma?

It depends on your preferences when it comes to contraception. There are many options available, including both non-hormonal and hormonal methods. Some women find a progesterone-only hormonal birth control is better for managing melasma compared with those containing estrogen.

Learn more about your birth control options:

Can I Treat My Melasma If I Am Taking Birth Control?

Start for less than $30 per month

Definitely! In fact, you should start treatment as soon as possible. The earlier you start a prescription-based daily regimen that includes the three most effective ingredients for treating melasma, the sooner your skin will be clear. That means you don’t have to change your entire contraceptive plan while treating melasma.


At-Home Melasma Treatment With ClearifiRx

Birth control may be contributing to your melasma, but treatment can help you manage this condition. ClearifiRx treatments fade, lighten, and clear dark patches of skin.

We deliver customized, prescription-strength melasma creams directly to your door. Your personalized treatment will include prescription creams and an online consultation with a licensed clinician. Combined with sun safety recommendations, you can keep your complexion clear.

Learn more about our Melasma Treatment

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Patricia Walker

Patricia S. Walker, M.D., Ph.D. is a board-certified dermatologist specializing in medical and aesthetic dermatology. She is an industry expert and has served in various leadership roles, including President and head of R&D for Brickell Biotech, Chief Medical Officer for Kythera Biopharmaceuticals, Inc., Executive Vice President and Chief Scientific Officer for Allergan Medical Aesthetics and Vice President and Dermatology Therapeutic Area Head at Allergan. Dr. Walker’s clinical and research work has contributed substantially to the world of dermatology. Over the past 20 years, she has played a key role in the development and approval of key dermatology products including Tazorac®, Botox® Cosmetic, Juvederm™, Hylaform®, Captique®, LAP-BAND®, Inamed® Silicone gel-filled breast implants and Kybella®. Dr. Walker completed her medical degree and dermatology residency training at the University of Iowa College of Medicine. She also completed a research fellowship at the National Institute of Health’s Dermatology Branch.

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