Melasma in Midlife: What Every Woman Needs to Know
Are you struggling with stubborn dark patches on your skin that just won’t go away? Have you tried creams, lasers, or expensive treatments only to see melasma return again and again?
In this episode of Menopause Rescue, Dr. Polly Watson is joined by nurse practitioner Kate Willis to talk all about melasma, why it happens, and the latest treatments that can truly make a difference. Together they share new research, practical tools, and strategies that help women find long-term solutions for clearer skin.
🌸 Melasma is triggered by UV exposure, hormones like estrogen, and genetics, making it one of the most challenging skin conditions to treat.
🌸 Oral tranexamic acid can reduce melasma severity by nearly 50% in just three months, with lasting improvement after stopping treatment.
🌸 Topical tranexamic acid may help mild to moderate cases, but oral use is more effective for severe melasma.
🌸 Hydroquinone and triple therapy (Triluma) remain important, especially when combined with newer options like tranexamic acid.
🌸 Sunscreen—especially mineral-based—is non-negotiable for prevention and maintenance.
🌸 Hair shedding is a possible but temporary and reversible side effect of oral tranexamic acid.
🌸 Melasma is not a one-and-done condition; it requires ongoing care, trigger awareness, and a long-term mindset.
If you’re in midlife and frustrated by melasma, this conversation offers clarity, validation, and real options so you can take back control of your skin health with confidence.
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