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Home / Infectious Diseases / Bacterial Infections / Melasma: Symptoms, Causes, Transmission, Prevention & Treatment Medications

Melasma: Symptoms, Causes, Transmission, Prevention & Treatment Medications

Dec 16, 2025 Kefas Solomon Kefas Solomon

What is Melasma? 

Melasma is a common, harmless skin condition that causes brown or blue-gray patches and freckle-like spots to appear on the skin, most often on the face. It is also known as "the mask of pregnancy" because it frequently affects pregnant women due to hormonal changes. These spots are usually brown or grayish-brown and do not cause any pain, discomfort, or itching, but they can make people feel self-conscious about their appearance. This condition is sometimes called the "mask of pregnancy" because it shows up often when women are carrying a baby, due to the changes happening inside their bodies. 

However, both men and women can get it, though it is much more frequent in women. It happens because the skin cells that make color, called melanocytes, start making too much pigment (color) in response to different triggers. Knowing why this happens and what you can do is the first step toward finding ways to manage it, especially for those looking for melasma natural treatment options that are gentle on the skin. This detailed look will help you understand the signs, what brings it on, how to keep it away, and the available ways to treat it.

​Symptoms of Melasma

​The main sign of melasma is the appearance of flat patches of skin that are darker than your normal skin tone. These patches are not raised like bumps or rashes; they simply sit on the surface of your skin.

  • Color and Appearance: The patches are typically brown, light brown, or a grayish-brown color. Sometimes, the spots can look a little blue-gray, which often suggests the discoloration is deeper in the skin layers. They are usually not a perfect circle but have an irregular, border-like shape. 

    The skin remains smooth over the patches, and there is no flaking or scaling. Knowing the precise color can be important for a doctor when deciding on the best course of action; for instance, understanding if you have light brown melasma patches on face will help determine if the pigment is epidermal (surface level) or dermal (deep level)

Causes of Melasma 

​Melasma is not caused by a single thing, but rather a combination of factors working together, usually involving a genetic predisposition and external triggers. The exact cause is still being studied, but experts agree on the primary factors that set off the excessive production of melanin, the pigment that gives skin its color.

  • ​Hormonal Changes: This is one of the strongest and most common reasons for melasma, particularly in women. When a woman is pregnant, her body produces higher levels of hormones like estrogen and progesterone. These hormones are thought to stimulate the melanocytes (color-producing cells) to create more pigment when exposed to sunlight. For those wondering can men get melasma on the face, the answer is yes, but it is less frequent because their hormonal profile is different. The hormonal link is why melasma is so often called the “mask of pregnancy.”

    ​Taking birth control pills or undergoing hormone replacement therapy for menopause can have the same effect because these also introduce extra hormones into the body. This is a crucial area for individuals to discuss with their doctors, especially those asking oral contraceptives cause melasma? as there are many different types of birth control available, and some may be less likely to trigger the condition than others. The increase in female hormones is a key mechanism behind the development of these dark patches.

  • ​Sun Exposure (Ultraviolet Light): Exposure to the sun, especially its ultraviolet (UV) rays, is considered the most significant trigger for melasma in people who are already prone to it. UV radiation damages the skin and, in turn, stimulates the melanocytes to produce more melanin as a protective response. Even small amounts of sun exposure can be enough to trigger or darken existing melasma patches, making it appear worse. Even if you are indoors, do fluorescent lights make melasma worse? is a valid question, as some studies suggest visible light (including the kind from certain indoor bulbs) and heat can also play a role, not just the harsh UV rays outdoors. 

    ​This is why melasma often gets darker in the summer months and lightens up somewhat during the winter. For this reason, the condition is often a chronic issue that requires continuous effort, leading many to search for the best sunscreen for melasma on face to ensure they are getting adequate protection against both UVA and UVB rays throughout the year. Sun protection is not just a treatment but the most vital step in preventing the condition from getting worse or coming back after treatment.

  • ​Genetics and Family History: If other people in your family have melasma, such as your mother or grandmother, you are much more likely to develop it yourself. Scientists estimate that a family history of melasma is found in up to half of all affected individuals. This suggests that some people are born with genes that make their melanocytes extra sensitive to hormonal changes and sun exposure. This genetic link is why a person might look into genetic predisposition to melasma to understand their personal risk.

    ​If you have darker skin or a light brown skin tone, you are also generally at a higher risk for melasma, though it can occur in all skin types. The fact that the condition runs in families means that if you have close relatives with the condition, you should be extremely careful with sun protection starting at a young age, even before any patches appear.

  • ​Certain Medications and Skin Care Products: Beyond hormonal medications, some other medicines, like certain anti-seizure drugs, have been reported to trigger or worsen melasma in some people. It is always important to discuss all the medications you are taking with your doctor if you develop new dark patches. Additionally, certain aggressive or irritating skincare products can cause inflammation in the skin. This inflammation can sometimes stimulate melanocytes to produce more pigment, worsening the condition, which leads people to ask what not to use on melasma skin to avoid irritation.

    The use of irritating ingredients, fragrances, or harsh physical scrubs can sometimes worsen the appearance of the patches. Choosing gentle, non-irritating products is a necessary part of managing the condition and is a simpler approach than trying to find a more complex melasma treatment cream that works fast.

Transmission of Melasma

​Melasma is not contagious or infectious. There is absolutely no way to pass melasma from one person to another through touch, sharing items, or any other kind of contact. It is purely a cosmetic skin disorder that happens due to internal body processes and external triggers like the sun, and it is a non-infectious condition of the skin's pigment-producing cells. 

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People do not need to worry about catching it from a friend or a family member. The reason a family member might have it is because they share the same genetic makeup, not because of transmission. This key fact allows people to understand that it is a personal health matter, not a public health concern, and removes the worry of finding how to stop melasma from spreading to other people, as it only affects the person who has it.

Prevention of Melasma 

​Preventing melasma, or keeping existing melasma from getting worse, centers almost entirely on strict sun protection and, when possible, managing hormonal triggers. These steps are simple but must be done consistently and without fail.

  • Daily Sunscreen Use: The single most important thing you can do is to use a broad-spectrum sunscreen every single day, no matter the weather. Broad-spectrum means the sunscreen protects against both UVA and UVB rays, and it should have a Sun Protection Factor (SPF) of 30 or higher. You must apply a generous amount to all exposed skin on the face and neck about 15 minutes before going outside. 

    Sunscreen should be reapplied every two hours, especially if you are sweating or swimming. It is crucial to remember that this must be done even on cloudy days, as UV rays can still pass through the clouds. This commitment is the answer for those searching for how to prevent melasma from getting worse during the bright summer months.

  • Review Medications: If you are taking oral contraceptives (birth control pills) or hormone replacement therapy (HRT) and you notice that you are developing melasma, talk to your doctor about possible alternatives. There may be non-hormonal birth control options or different ways to manage menopausal symptoms that will not trigger your skin condition. A doctor can help you find a suitable option and decide the best treatment for melasma caused by birth control pills.
  • ​Post-Pregnancy Monitoring: For women who develop melasma during pregnancy, sometimes called chloasma, the patches will often fade on their own several months after giving birth or stopping breastfeeding, as the hormones return to normal levels. However, it is vital to continue with rigorous sun protection during and after pregnancy to encourage the fading process and prevent the melasma from becoming a permanent problem.
  • ​Avoid Irritating Products: Do not use harsh skin care products that irritate or inflame your skin, such as abrasive scrubs or strong chemical exfoliants, unless a dermatologist specifically recommends them as part of a treatment plan. Irritated skin often makes melasma patches darker. You may want to look for products labeled as "gentle" or "for sensitive skin." For those looking into melasma and diet correlation, note that while diet is important for overall health, avoiding irritating topical products is a much more direct way to manage the condition.
  • ​Stay Cool: Heat is thought to be a trigger for some people, as it can cause inflammation. Avoid spending too much time in very hot places, like saunas or steam rooms, and use cold compresses if your face feels flushed or hot after exercise or being in the sun. This subtle step is a part of the full lifestyle changes recommended for those seeking a thorough melasma skin care routine that focuses on minimizing all potential triggers.
  • Wear Protective Gear: Sunscreen is not enough on its own. It is essential to wear wide-brimmed hats that can shade your whole face and neck whenever you go outdoors during the day. Also, use sunglasses. This physical barrier provides a layer of protection that chemically-based sunscreen cannot fully replace. Seek shade whenever possible, especially during the sun's most intense hours, usually from 10 a.m. to 4 p.m. Many find that wearing a hat with a brim is the most effective way to help with sun protection for melasma-prone skin.

Melasma Treatment Medication and Supplements

Forever Aloe Propolis Creme is very helpful for people living with melasma because it works directly on the skin to calm irritation and support healing. It contains aloe vera, bee propolis, chamomile, and vitamins A and E. Aloe vera deeply soothes the skin and helps reduce redness and heat, which often worsen dark patches. Bee propolis has antibacterial and anti-inflammatory properties that protect the skin from infection and damage, especially when the skin barrier is weak. Chamomile helps to calm sensitive skin and reduce irritation caused by sun exposure or hormonal changes, which are common triggers of melasma. Vitamins A and E support skin repair and help damaged skin cells renew themselves gradually. When used regularly on affected areas, Aloe Propolis Creme helps improve skin texture, supports even skin tone, and protects the skin from further damage that can make melasma darker.

C1 Powder plays an important role in managing melasma by supporting collagen formation and skin repair from inside the body. It is a strong source of vitamin C, which helps reduce excess pigmentation by slowing down melanin production in the skin. Vitamin C also works as a powerful antioxidant, protecting skin cells from damage caused by sunlight, pollution, and internal stress. This protection is important because oxidative stress often makes melasma worse. C1 Powder also helps the body heal faster and supports healthy blood circulation, which allows nutrients to reach the skin properly. With steady use, it helps the skin appear brighter, clearer, and healthier over time.

Forever Arctic Sea provides omega-3 fatty acids that help control inflammation in the body, which is important in melasma management. Chronic inflammation can worsen dark patches and slow skin healing. The omega-3 oils in Arctic Sea help keep skin cells healthy, reduce dryness, and support the skin’s natural barrier. A strong skin barrier protects against sun damage, which is one of the main causes of melasma. Arctic Sea also supports hormonal balance and circulation, helping the skin respond better to treatment and healing.

Forever Aloe Blossom Herbal Tea supports melasma treatment by gently cleansing the body from within. It helps improve digestion and supports liver function, which is important because poor detoxification can show on the skin as dark patches. The herbs in the tea help remove waste products that may affect skin clarity. When the body is clean inside, the skin responds better to treatment and becomes clearer over time. Drinking this tea regularly supports overall skin balance and health.

Forever Lycium Plus supports skin health by nourishing the body with antioxidants, vitamins, and plant compounds from goji berries and other natural ingredients. These antioxidants protect skin cells from damage that can worsen pigmentation. Lycium Plus also supports immune health and improves blood circulation, helping nutrients reach the skin evenly. With better nourishment, the skin repairs itself more effectively, which can help fade dark patches gradually and support a more even skin tone.

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2025-12-16  Kefas Solomon

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