Pigmentation around mouth

Good evening Dr I have some dark skin around my lips which looks very bad I have used cream also and I found that sometimes it's gets lighter and later it's turned again same as before. Does harmon imbalance also cause it coz it seem to me that I have harmon imbalance problem. I do have pimples comes and goes off and irregular periods with severe pain and remains only for 2 to 3 days. Pose help
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Dr. Ujjwala Verma
Dermatologist 8 yrs exp Delhi

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You need to consult a dermatologist to assess the underlying causes. It seems to be pcos. Needs a thorough work up
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