There are pigmentation points on cheeks during pregnancy. Kindly advise.

Question

Hello doctor,

The patient is my wife. She is 30. She is seven months pregnant. This is the second pregnancy. She complains of pigmentation points on cheeks and hair loss increased as pregnancy is progressing. Her diet is alright. Endocrine reports are fine. Face pigmentation and hair loss is causing a lot of concern for her. Kindly advise.

Thanks.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

I have noted your concern and I have viewed the images (attachment removed to protect patient identity). I suggest her to use a broad spectrum sunscreen. Reapply every two to three hours throughout the day. At night, she may apply Azelaic acid 20 % cream on the affected areas. Rub it in gently. For hair loss, I suggest her to continue with Iron and Folic acid supplementation.

I hope this information will help you.

Thanks.

Answer 2

Hi,

Welcome back to icliniq.com.

I understand your concern.

I suggest you use the above medication for at least four to six weeks and then follow up. Results are gradual and may take four to six weeks to become noticeable. Moreover, considering that she is pregnant these are safe medications for her.

I hope this information will help you.

Thanks.