Yes, definitely melasma does have a hormonal effect. That is why it is seen in women during pregnancy or during menopause. Also hormones do play a major important role in melasma. Also it could be hereditary. Increased level of progtsrsone are known to cause melasma. So the increased melasma levels during pregnancy or post menopausal when someone is on hormone medication, that is hormone replacement therapy which contains increased progesterone can lead to melasma. So hormones are known to cause melasma. Vitamin D levels do not majorly affect melasma. Whereas Vitamin D low levels are known to have an effect on eczema, and many other skin conditions, but melasma it is researchwise and theoretically it is known to cause or have any effect on melasma.

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Excess sweating is also called as hyperhydrosis. It can happen can any of these areas like the face, the body, the palms and the soles, anywhere it can happen. There’s no exact reason for this. It can be because of sympathetic nerve supply to the sweat glands, there will be some disruption in it. In that case there are no surgical procedures, no lotions, no tablets. There are anti-cholinergic tablets that are available. The doctor may start them on a small dose and may increase the dose and this may control. There is another form of hyperhidrosis following eating spicy food, sometimes in emotional stress, any stressful condition can develop this. So if you cure the underlying disease. Even some cancer patients do have, also in high fever you can have hyperhidrosis. These are all temporary, can’t be permanent.

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