Hello Joanna,

I am six months pregnant with my first child and I have a MASSIVE splotch of pigmentation on my forehead. A geographically-inclined person might say it resembles a map of Europe. Is there anything I can do about this now? If not, will it go away once the baby has arrived?

It’s safe to say, pregnancy can be a strange time not only for your body, but for skin! Hormones can produce peculiar changes including hormonal pigmentation which, to be honest with you, is very difficult to treat. Many women experience similar pigmentation patches from the effects of oral contraceptives or hormone replacement therapy (so at least you are not alone!)

There are treatments for pigmentation, but you need to be extra careful when you are pregnant. I would not recommend using topical products, as some of the ingredients in these products are not indicated for use in pregnancy. And, while it is safe to use LED Light Therapy during this time, it may or may not be effective.

It is also impossible to say how your pigmentation will behave once the baby has arrived – it might go away of its own accord, or it may stay. I would strongly recommend staying out of the sun and wearing a strong broad-spectrum 30+ SPF to minimize UV exposure so the pigmentation does not get any worse. After the baby is safely born and you have finished breastfeeding, then, you can investigate your options and choose the best one.

However, it’s not all doom and gloom! A friend of mine experienced a very large patch of of facial pigmentation during her first pregnancy (not Europe exactly, but at least the size of Canada). It went away on its own about six months after her son was born and did not return in either of her subsequent pregnancies.

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