Who is most likely to be affected?
Melasma is most often seen in women who are pregnant or taking birth control pills. Menopause, hormonal imbalances, or ovarian disorders may also trigger the development of melasma. Sun exposure in the form of ultraviolet A (UVA) and ultraviolet B (UVB) is a large factor contributing to the development of melasma, which makes anyone who spends extended time in direct sunlight vulnerable to melasma.