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Pregnancy and Pigmentation: Causes and Management

Published : June 30, 2023 6 mins read Updated On : Jun 10, 2024

Pregnancy is a remarkable journey filled with joy but presents certain challenges, such as pigmentation issues. These changes in skin colouration can occur due to hormonal changes, sun exposure, or underlying medical conditions. Fortunately, there are ways to manage and prevent pigmentation concerns effectively.

In this blog, we aim to provide you with a comprehensive understanding of pigmentation, including its various types and offer valuable insights on addressing them. We will also provide essential skincare tips to help you maintain a radiant complexion throughout this beautiful phase of your life. So, if you're an expectant mother seeking to safeguard your skin's health and preserve your natural glow during pregnancy, you've come to the right place.

Pregnancy and Pigmentation

Pigmentation during pregnancy refers to changes in skin colouration that occur because of hormonal fluctuations and other factors. It is a common occurrence and can manifest in different forms on various parts of the body. The increased production of hormones like estrogen and progesterone can stimulate the melanocytes (cells responsible for skin pigmentation) to produce more melanin, leading to hyperpigmentation (1).

These changes in pigmentation are often seen as darkened patches or spots on the skin. Some common types of pigmentation during pregnancy include:

• Melasma: Also known as "the mask of pregnancy," melasma during pregnancy appears as symmetrical, dark patches on the face, particularly on the cheeks, forehead, and upper lip.

• Linea nigra: This is a vertical line that forms on the abdomen, running from the navel to the pubic bone. It is typically a dark brownish colour.

• Darkened areolas: The pigmented area around the nipples may darken during pregnancy.

• Chloasma: Like melasma, chloasma refers to the appearance of irregular patches of darkened skin on the face. The exposure to the sun frequently causes it.

While these changes in pigmentation are generally harmless and resolve on their own after pregnancy, they can cause concern for some women. Understanding the nature of pigmentation during pregnancy can help you manage and minimise its effects, allowing you to embrace this beautiful phase confidently.

Understanding Changing Hormones

Changing hormones play a significant role in pigmentation on the face during pregnancy. Hormonal fluctuations, particularly increased levels of estrogen and progesterone, can impact the activity of melanocytes, the cells responsible for producing melanin, which gives colour to the skin, hair, and eyes.

During pregnancy, the surge in hormone production can stimulate melanocytes to produce more melanin. This increase in melanin production can lead to the development of hyperpigmentation, causing dark patches or spots on the skin.

Estrogen has been found to influence pigmentation. It can stimulate melanocyte-stimulating hormone (MSH) receptors on melanocytes, increasing their activity and melanin production. This is why pigmentation changes are more common during pregnancy when estrogen levels are significantly elevated (2).

Progesterone, another hormone abundant during pregnancy, can also contribute to pigmentation changes. It can stimulate the production of melanocyte-stimulating hormone (MSH), which further activates melanocytes.
It is worth noting that hormonal pigmentation changes are not limited to pregnancy. Hormonal fluctuations during other periods, such as puberty or menopause, can also result in similar pigmentation issues.

While these hormonal changes are a natural part of pregnancy, they can be managed and minimised to some extent. Taking precautions such as practising sun protection, using gentle skincare products, and maintaining a healthy lifestyle can help regulate pigmentation and reduce its severity.

Causes of Pigmentation in Pregnancy

Pigmentation during pregnancy can have multiple causes, including hormonal changes, sun exposure, and certain medical conditions. Here are some of the primary factors that contribute to pigmentation during pregnancy:

• Hormonal fluctuations: The increased levels of estrogen and progesterone during pregnancy can stimulate melanocytes to produce more melanin, leading to hyperpigmentation. This is especially prominent in areas such as the face, abdomen, and breasts.

• Melanocyte-stimulating hormone (MSH): The rise in MSH levels during pregnancy can activate melanocytes, causing increased melanin production and subsequent pigmentation changes (3).

• Melasma/chloasma: Melasma, also known as chloasma or the mask of pregnancy, is a type of pigmentation that occurs due to a combination of hormonal changes and sun exposure. Ultraviolet (UV) radiation from the sun can trigger the production of melanin, exacerbating pigmentation issues.

• Sun exposure: Prolonged or unprotected exposure to the sun's UV rays can worsen pigmentation during pregnancy. UV radiation stimulates the production of melanin and can darken existing pigmented areas.

• Genetic predisposition: Some women may have a genetic predisposition to pigmentation changes during pregnancy. If your mother or other female relatives experienced pigmentation issues during pregnancy, you may also be more likely to develop them.

• Medical conditions: Certain medical conditions, such as hormonal imbalances, thyroid disorders, or adrenal gland dysfunction, can contribute to pigmentation changes. If you suspect an underlying medical condition is causing or exacerbating your pigmentation, it's important to consult with a healthcare professional for an accurate diagnosis and appropriate management.

Understanding the causes of pigmentation during pregnancy can help you make informed choices about prevention and management. Remember that while pigmentation changes are common and usually harmless, it's important to understand to keep using proper products and supplements so that the pigmentation doesn't become severe.

Managing Pigmentation in Pregnancy

Managing pigmentation during pregnancy involves a combination of preventive measures, skincare practices, and professional guidance. Here are some effective strategies for managing pigmentation:

Sun protection:

It's important to shield your skin from the sun's damaging UV rays. Follow these steps:

• Apply a broad-spectrum sunscreen with a high SPF (at least 30) to all exposed areas of skin daily, even on cloudy days.

• Reapply sunscreen every two hours or more frequently if sweating or after swimming.

• Seek shade and avoid direct sun exposure, especially during peak hours.

• Wear protective clothing, such as wide-brimmed hats, sunglasses, and lightweight, long-sleeved garments.

Skincare routine:

• Cleanse your skin gently using mild, non-abrasive cleansers suitable for your skin type.

• Use skincare products containing ingredients like vitamin C, niacinamide, or azelaic acid, which can help brighten the skin and improve pigmentation.

• Avoid harsh exfoliation methods that may exacerbate pigmentation. Opt for gentle exfoliation with chemical exfoliants like alpha-hydroxy acids (AHAs) or beta-hydroxy acids (BHAs), as a healthcare professional recommends.

• Moisturize your skin regularly to maintain hydration and support its natural barrier function.

Topical Treatments:

• Topical treatments, such as serums, can be beneficial in reducing pigmentation. Certain ingredients like Glutathione, Vitamin C, Niacinamide, Arbutin, and Triple Hyaluronic Acid Complex have shown promise in addressing pigmentation concerns. Topical treatment is ideal for pregnancy pigmentation on the face.


In conclusion, pigmentation during pregnancy is a common concern that many women experiences. Factors like changing hormones, inflammation, and sun exposure influence it. However, it can be effectively managed with the right approach and care.

Understanding the underlying causes of pigmentation is crucial for prevention and treatment. Hormonal changes have a significant impact, so using gentle skincare products suitable for pregnant women can help minimise pigmentation. Protecting your skin from the sun's harmful rays by using SPF protection and avoiding excessive sun exposure is vital for reducing pigmentation.

It's important to debunk common myths about pigmentation. Contrary to popular belief, simply drinking more water or completely avoiding sunlight may not effectively prevent pigmentation.

By following a well-rounded approach that includes skincare, sun protection, and seeking professional advice if needed, you can successfully manage pigmentation during pregnancy. Remember, these changes are temporary, and with patience and self-acceptance, you can focus on the joyous journey of motherhood.


1. Does hyperpigmentation in pregnancy go away?

Hyperpigmentation during pregnancy, often called melasma or the "mask of pregnancy," typically fades after childbirth. However, it can take several months to a year to fully diminish. Persistent cases may require dermatological treatments.

2. What does pregnancy pigmentation look like?

Pregnancy pigmentation, or melasma, appears as dark, irregular patches on the face, especially the cheeks, forehead, nose, and upper lip. The patches are usually brown or gray-brown and often symmetrical.

3. How do you treat post pregnancy pigmentation?

To treat post-pregnancy pigmentation, use sunscreen daily, apply topical treatments with ingredients like hydroquinone or retinoids, and consider professional options like chemical peels or laser therapy.

4. What is the best skin care product for pregnancy pigmentation?

Chicnutrix Glow with Japanese glutathione is the best skincare product for pregnancy pigmentation.

Rochelle Rocque
Wellness, Beauty and Seasonal

Rochelle is a person who loves to learn and read new things. Writing is her way of communicating to the world, she writes what she feels. According to her writing is the best way to speak her mind.... Read More


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