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Can PCOS Cause Pigmentation?

Posted on 3 September 2025

Can PCOS Cause Pigmentation?

Hormonal fluctuations impact more than just internal health, they often manifest visibly on the skin. A common question among women with polycystic ovarian syndrome is: Can PCOS cause pigmentation? The answer is yes. Pigmentation linked to PCOS is a known side effect of hormonal imbalance, often appearing in areas such as the face, neck, and underarms.

How Hormones Affect Skin Pigment

In PCOS, elevated androgens can trigger an increase in melanin production, leading to darkened patches on the skin. This pigmentation, known as acanthosis nigricans, often appears as velvety or shadowy discolouration. In other cases, melasma or post-inflammatory hyperpigmentation may develop, especially following acne or inflammation.

While pigment changes caused by PCOS can be persistent, they are treatable with a combination of targeted therapies.

Can PCOS Cause Pigmentation, and Can It Be Treated?

Yes, PCOS can lead to pigmentation, and several pigmentation treatments are available to address it. IPL treatment is a gentle option for tackling red or brown pigment caused by inflammation or acne scarring. It works by breaking up discolouration and brightening the overall complexion.

CO2 laser resurfacing offers more intensive skin renewal for deeper pigment or texture irregularities. It removes damaged skin layers and encourages collagen regeneration, resulting in smoother, more even skin.

For those with sensitive skin or mixed concerns like laxity and uneven tone, Morpheus8 combines radiofrequency with microneedling. It penetrates the dermis to remodel collagen while also helping to disperse pigment irregularities.

A Long-Term Strategy for Clearer Skin

Because pigmentation in PCOS is linked to internal hormonal cycles, maintenance and prevention are key. Treatments offer significant improvement, but results are best sustained with ongoing skin care, sun protection, and management of underlying hormonal triggers.

So, can PCOS cause pigmentation? Yes, but with the right intervention, it can be managed to reveal a more balanced, radiant complexion.

FAQs

  • Can hormonal changes cause pigmentation?

    Hormonal fluctuations, especially during pregnancy, menopause, or conditions like PCOS, can increase melanin production, leading to pigmentation. This often appears as melasma or dark patches across the face, particularly on the cheeks and upper lip. Hormone-induced pigmentation tends to be persistent but can be managed with targeted treatments and lifestyle support.

  • Can PCOS change your facial features?

    PCOS doesn’t change bone structure, but it can affect how the skin and soft tissue appear. Hormonal imbalance may lead to acne, pigmentation, and increased facial hair. In some cases, weight fluctuations and inflammation contribute to changes in facial contour, particularly around the jawline or cheeks, affecting overall appearance over time.

  • Does PCOS affect the skin?

    Yes, PCOS commonly affects the skin. Elevated androgen levels may lead to acne, oiliness, pigmentation, and hirsutism. These skin changes often persist unless the hormonal imbalance is addressed. Treatments can help control symptoms, improve skin texture, and reduce the visible effects of PCOS with a combination of topical and clinical interventions.

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