Common Pregnancy and Postpartum Skin and Hair Changes

Every woman’s hormonal response to pregnancy is unique, which is why skin and hair changes vary so widely. Some experience the classic “pregnancy glow,” while others notice acne flare-ups, pigmentation changes, or hair concerns. Regardless of how visible the changes are, hormones play a central role during pregnancy and for months afterward.

Hair Changes During and After Pregnancy

Under normal circumstances, most people shed about 100–150 hairs per day. During pregnancy, elevated estrogen levels prolong the hair growth phase, meaning less hair is shed. As a result, hair often appears fuller and thicker.

After delivery, estrogen levels drop rapidly. This causes many of the hairs that were retained during pregnancy to shed around the same time, leading to postpartum hair shedding (telogen effluvium). This can feel alarming but is very common.

• Hair shedding usually peaks 3–6 months postpartum

• In most cases, shedding gradually improves over time

• Some follicles may regrow finer hair, leading to temporary thinning along the scalp or hairline

• If shedding is severe, prolonged, or patchy, evaluation by a dermatologist is recommended

Skin Changes During Pregnancy and Postpartum

Hormones significantly influence how skin cells behave. Common skin-related changes include:

• Increased or decreased acne

• Changes in oil production

• Enlarged pores or blackheads

• Increased skin sensitivity

Pigmentation Changes

One of the most well-known pregnancy-related skin changes is melasma, which appears as dark brown or grayish patches on the forehead, cheeks, nose, or upper lip. Hormonal shifts combined with sun exposure trigger this condition.

• Sun protection during pregnancy is essential

• Broad-spectrum sunscreen and protective clothing can reduce severity

• Dermatologists also recommend monitoring new or changing moles, as pregnancy can accelerate pigment changes and, in rare cases, signal melanoma

Stretch Marks (Striae)

Stretch marks are extremely common during pregnancy. While they cannot be completely prevented, their severity may be reduced by:

• Maintaining a balanced, nutrient-rich diet

• Staying well hydrated

• Gaining weight at a pace recommended by your healthcare provider

• Ensuring adequate vitamin D intake

• Treating early stretch marks promptly under medical guidance

Be cautious with marketing claims.
There are currently no FDA-approved topical creams proven to eliminate stretch marks.

Itching During Pregnancy

Mild itching is common due to increased blood flow and skin stretching. However, severe or persistent itching should be evaluated by a healthcare provider, as it may indicate a more serious condition.

Helpful strategies include:

• Wearing loose, breathable clothing

• Avoiding fragranced soaps and lotions

• Applying gentle, fragrance-free moisturizers

Postpartum Hormonal Recovery

Hormonal adjustments do not stop after delivery. Changes in skin and hair may persist for 6–12 months postpartum. In some cases, hormonal shifts permanently alter how skin receptors or hair follicles behave.

Medication and Product Safety During Pregnancy and Breastfeeding

Many over-the-counter products are generally safe, but anti-aging and acne treatments often contain vitamin A derivatives (retinoids), which can be harmful during pregnancy and breastfeeding.

• Always discuss skincare products with a dermatologist

• Be cautious with products applied to the chest or neck while breastfeeding

• Safety applies to both prescription and non-prescription products

General Skin and Hair Care Tips

• Use gentle cleansers and fragrance-free products

• Avoid aggressive exfoliation or harsh treatments

• Limit heat styling and tight hairstyles

• Take prenatal or postpartum vitamins as directed

• Keep routines simple and consistent

If hormone-related changes are significantly affecting your skin or hair, a dermatologist can help evaluate and create a personalized treatment plan.

Call-On-Doc dermatologists can help treat hair loss, acne, pigmentation changes, and other skin concerns—completely online.

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