Answer:
Melasma is typically caused in women by exposure to estrogens. For this reason, any
hormone replacement you are taking that contains estrogen can contribute, so I would
refrain from using estrogens. Also, the hormonal fluctuation you get in perimenopause
could also cause higher estrogen levels, alternating with low levels, and could also
contribute to melasma.
Typically, hydroquinone (TriLuma) or other creams have not proven to be very effective for melasma. The best thing would be a good zinc-containing sunscreen when outdoors, and staying out of the sun if possible.
Typically, hydroquinone (TriLuma) or other creams have not proven to be very effective for melasma. The best thing would be a good zinc-containing sunscreen when outdoors, and staying out of the sun if possible.