Is hyperpigmentation a sign of declining estrogen levels in the body?

Patient's question:

Hello doctor, I am 31 years old this year. Six months ago, I had an ovarian cyst surgery (with the ovaries preserved intact), and since then, I have noticed an increase in facial pigmentation and deeper wrinkles around my eyes. It seems like I am aging very quickly. Is this a sign of declining estrogen levels in my body?

Doctor's answer:

Hello: Your condition is caused by symptoms of endocrine disorder. Conventional treatments are difficult to completely remove it. If the treatment is too superficial, it will not eliminate the damage. To achieve an ideal treatment depth, it is inevitable to leave scars.
Topical medication is usually ineffective, generally only serving a placebo effect. Some people mistakenly believe that freckles are caused by endocrine disorder, so they use oral medication for treatment. In fact, freckles have nothing to do with endocrine disorders, and regulating the endocrine system will not have any therapeutic effect.
Treatments such as drug application (drug cauterization), chemical peeling (beauty salons), high-frequency electricity, and ordinary carbon dioxide laser carry high risks, are very likely to leave scars, and are not ideal in terms of efficacy. Therefore, please do not choose any of the above treatments.
In comparison, cryotherapy is a relatively satisfactory treatment method. Although its efficacy and safety are not entirely satisfactory, compared to the methods mentioned above, it is still a viable option, especially because the treatment cost is relatively low.
The most ideal treatment method is high-tech Q-switched laser therapy, which has high efficacy and safety but is relatively expensive.
In fact, there are two relatively certain treatment methods for freckles currently: cryotherapy and high-tech Q-switched laser therapy. Therefore, it is recommended that if you have financial constraints, you can opt for cryotherapy. If your financial situation is better, you can choose high-tech Q-switched laser as the primary method to eliminate freckles on your face.
Of course, photofacial is also an ideal treatment method. Its biggest advantage is that it not only treats freckles but also makes the skin smooth and brightens it. After treatment, it generally does not affect work or school. Usually, you can return to normal work or school in the afternoon after treatment in the morning.

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