How to deal with increasing facial spots while using Mirena?

Generally, increased facial pigmentation after insertion of the Mirena intrauterine device (IUD) can be alleviated by taking proper sun protection measures, maintaining good sleep patterns, adjusting dietary habits, engaging in appropriate physical exercise, implementing proper skin care, and undergoing treatments for pigmentation. Detailed explanations are as follows:

1. Implement Proper Sun Protection

Ultraviolet (UV) radiation is a common external factor that aggravates pigmentation. Prolonged sun exposure stimulates melanocytes to produce more melanin, making existing pigmented spots more visible and numerous. When increased pigmentation occurs after Mirena IUD insertion, enhanced sun protection becomes even more important. This helps reduce further UV-induced skin damage, protects the skin barrier, and slows the progression of pigmentation.

2. Maintain Regular Sleep Patterns

Staying up late or having irregular sleep schedules can disrupt the body's endocrine system and affect normal hormone secretion and metabolism. Since Mirena contains levonorgestrel, which may itself influence the endocrine system, maintaining regular sleep patterns can help reduce hormonal imbalances, thereby decreasing melanin production and preventing worsening of facial pigmentation.

3. Adjust Dietary Habits

Consuming excessive amounts of tyrosine-rich foods, such as cheese and chocolate, can promote melanin synthesis in the body and worsen pigmentation. Additionally, deficiencies in vitamins and trace elements can impair normal skin metabolism and antioxidant capacity, which is unfavorable for reducing pigmentation. Proper dietary adjustments can improve skin nutrition from within and help reduce pigmented spots.

4. Engage in Appropriate Physical Exercise

Exercise promotes blood circulation and enhances the body's metabolic functions, delivering more nutrients and oxygen to skin cells. This helps eliminate metabolic waste, including melanin, from the skin more efficiently, thereby reducing pigmentation. Physical activity can have a positive effect on skin changes that may occur due to hormonal influences after Mirena IUD insertion.

5. Skin Care and Pigmentation Treatments

Daily skin care is fundamental to maintaining healthy skin and fading pigmentation. Using moisturizing and reparative skincare products helps maintain skin hydration, strengthens the skin barrier, and reduces external irritation, all of which are beneficial for improving pigmentation. In addition, laser treatments may be considered under a physician's guidance to accelerate the fading of pigmented spots.

It is advisable to avoid using cosmetics and skincare products containing harmful ingredients such as hormones or heavy metals, as they may exacerbate pigmentation.