I am 28 years old and have been suffering from recurrent melasma on my face for the past five years, which keeps coming back whenever I stop taking my medication. Could this be caused by an underlying thyroid or hormonal issue, should I get a thyroid test done, and what medicines would you recommend to effectively treat this?

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I am 28 years old and have been suffering from recurrent melasma on my face for the past five years, which keeps coming back whenever I stop taking my medication. Could this be caused by an underlying thyroid or hormonal issue, should I get a thyroid test done, and what medicines would you recommend to effectively treat this?

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I am 28 years old and have been suffering from recurrent melasma on my face for the past five years, which keeps coming back whenever I stop taking my medication. Could this be caused by an underlying thyroid or hormonal issue, should I get a thyroid test done, and what medicines would you recommend to effectively treat this?

Asked by Female, 28 · 15 hours ago

Veda Maddala

M Pharmacy

15 hours ago

Yes, recurrent melasma is closely linked to hormonal fluctuations and thyroid dysfunction. Getting a thyroid panel (TSH, Free T3/T4) is highly recommended to rule out underlying issues. Since melasma is chronic, strict daily use of broad-spectrum SPF 50+ sunscreen is essential to prevent recurrence. Dermatologists typically recommend topical treatments like hydroquinone, azelaic acid, retinoids, or triple-combination creams. For persistent cases, oral tranexamic acid or procedures like chemical peels may be considered. Please consult a dermatologist and an endocrinologist to address the root cause and establish a safe, long-term maintenance plan.

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