Melasma associated with pregnancy typically completely disappears (with treatment) within one year of delivery. There is 6% of spontaneous remission. However, up to 30% of patients develop some pigmentary sequela. The disease is more persistent in women who used oral contraceptive and in melasmas with more intense pigmentation. Recurrences are common in subsequent pregnancies and the chances of developing melasma for the first time during pregnancy increase with a history of multiple pregnancies.29,35,41,43