What should I do if I have melasma due to endocrine disorders?

Patient's question:

The spots above my mouth have been there for 7 years and are quite severe. The new spots under my eyelids grew quite fast last year and have also turned dark. I'm always tired and even napping doesn't improve the quality of my sleep. I've already started experiencing neurasthenia, which traditional Chinese medicine says is brain neurasthenia. I'm also getting more and more gray hair.

Doctor's answer:

Hyperpigmentation is a postnatal hypermelanosis skin disease. It is necessary to prevent excessive sun exposure, and sun-exposed areas can be treated with titanium dioxide cream, etc. Eat more fresh fruits and vegetables, and reduce the intake of spicy and irritating foods.
Principles of hyperpigmentation treatment:
1. Identify and remove potential causes, and prevent factors that may worsen the condition. For example, treat chronic diseases, discontinue contraceptive medications, prevent sun exposure, or use external sunscreens. Use cosmetics cautiously. For gynecological disease patients, daily treatment mainly involves medication. Patients can take various oral medications, combined with multiple vitamins, and pay attention to self-care, proper diet, and avoid cold foods.

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