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Is upper lip pigmentation in women linked to PCOD?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have black or dark patches around my upper lip area. I am a female diagnosed with PCOD and a hormonal imbalance.

Please help.

Thank you.

Answered by Dr. Misha Saghir

Education:

MBBS

Professional Bio:

Dr. Misha Saghir, MBBS, FCPS (Dermatology Resident) • Clinical Dermatologist & Tele-Derm Specialist • Experienced in skin, hair, nail, and cosmetic concerns • Expertise in acne, pigmentation, eczema, psoriasis, vitiligo, melasma, infections, skin hair and nail disorders • Former General Practitioner with 2 years in government healthcare • Provides evidence-based, patient-centered online consultations • Practical treatment plans with clear guidance and follow-up

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

Thank you for reaching out and sharing your concerns so clearly.

I understand that pigmentation around the upper lip can be particularly distressing, primarily when associated with PCOS (polycystic ovary syndrome,a condition where hormonal imbalance in women affects periods, fertility, and skin) and hormonal imbalance, as these conditions can significantly contribute to pigmentation changes on the face.

However, the good news is that with consistent care and targeted treatment, these dark patches can gradually improve. So please do not worry, I will guide you through a simple, step-by-step management plan to help you achieve visible results.

To begin with, it is important to focus on gentle skincare. Start by using a non-comedogenic moisturizer, which will help keep your skin well hydrated without clogging the pores or irritating the sensitive upper lip area.

In addition to moisturizing, sun protection plays a crucial role in treating pigmentation. Therefore, every morning, apply a broad-spectrum sunscreen with SPF 50 (sun protection factor), even if you are indoors, as ultraviolet (UV) exposure can worsen pigmentation and slow down the healing process. You may use any oil-free, acne-safe sunscreen suitable for sensitive skin.

Along with this, targeted treatment for the dark patches is essential. For this purpose, you can apply a topical cream containing Azelaic acid 10 percent, once daily or on alternate nights. Use only a pea-sized amount and apply it gently over the affected area. This medication helps reduce pigmentation, improve skin texture, and is generally safe for sensitive skin. Continue this treatment regularly for six to eight weeks to notice visible improvement.

At the same time, it is important to take extra care of the upper lip area in your daily routine. Try to avoid waxing or any harsh hair removal methods, as repeated friction can further darken the skin. Cleanse your face gently twice a day using a mild face wash, avoid scrubbing, and follow a consistent skincare routine.

Most importantly, managing your hormonal imbalance with your physician is a key part of the treatment. Since PCOS is one of the underlying causes, controlling your hormones can significantly improve pigmentation over time and prevent recurrence.

Overall, with regular care and patience, most patients start noticing gradual lightening of the dark patches within six to eight weeks, although the exact duration may vary depending on your skin type and hormonal factors.

I hope this helps.

Please revert in case of further queries.

Thank you.

Medically reviewed by iCliniq medical review team
Published At May 12, 2026
Reviewed At May 12, 2026

Education:

MBBS

Professional Bio:

Dr. Misha Saghir, MBBS, FCPS (Dermatology Resident) • Clinical Dermatologist & Tele-Derm Specialist • Experienced in skin, hair, nail, and cosmetic concerns • Expertise in acne, pigmentation, eczema, psoriasis, vitiligo, melasma, infections, skin hair and nail disorders • Former General Practitioner with 2 years in government healthcare • Provides evidence-based, patient-centered online consultations • Practical treatment plans with clear guidance and follow-up

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Misha Saghir, MBBS, FCPS (Dermatology Resident) • Clinical Dermatologist & Tele-Derm Specialist • Experienced in skin, hair, nail, and cosmetic concerns • Expertise in acne, pigmentation, eczema, psoriasis, vitiligo, melasma, infections, skin hair and nail disorders • Former General Practitioner with 2 years in government healthcare • Provides evidence-based, patient-centered online consultations • Practical treatment plans with clear guidance and follow-up

This doctor is not available for online consultations on the platform anymore.

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