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A 36 years old female patient attends the OG department and complains of dark spots in face over the past few years. She initially noticed it after her first child birth, five years earlier. The lesions become worse in the second pregnancy, two years back. She does not have any other medical problems. She was not on any drugs except for oral contraceptive pills. She does not appear to be stressed. Blood pressure- 120/76 mmHg, Pulse rate- 84/min, temperature- 37.6 C, Respiratory rate-16/ min. On her forehead, cheeks and chin, multiple, discrete confluent well demarcated patches of brown hypopigmentation are seen. Complete blood count ant thyroid profile tests are normal. The most appropriate advice is –

AUse of oral contraceptive pills not likely to influence it
BIt is a sign of underlying endocrine disease
CMelasma may or may not return with each subsequent pregnancy
DPersists for life time.
Unknown
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