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so today weamp;#39;re going to talk about darkened skin spots whatamp;#39;s behind that now the medical term for that is called melasma so here we have an overactive melanocyte which is making too much melanin which is the pigment so itamp;#39;s going to show up in a slightly darkened area on your skin and there are three main causes one would be high levels of insulin or insulin resistance and this is why you see this in cases with polycystic ovarian syndrome all the time you see these little skin spots all over whatamp;#39;s behind that is high insulin and if youamp;#39;re not familiar with pcos the excess insulin is triggering the high levels of androgen now the number two cause is high levels of estrogen and this is why you would see this in pregnancy or when someone took hormone replacement therapy or birth control pills and then the third cause would be stress induced because the cortisol is too high and thereamp;#39;s two main adrenal conditions