Moles on the Scrotum and Penis: When to Seek Help

Moles on the scrotum and penis?

I have developed many moles on my scrotum, almost 10, and there are 5 on my penis.
What could this possibly be? Some of the moles on the scrotum are asymmetrical.
I have checked the ABCDE criteria for melanoma, and only a few of the moles are asymmetrical; the others do not meet the criteria.
Is this normal? Thank you for your help.

Niming, 10~19 year old female. Ask Date: 2016/06/27

Dr. Wu Yuxin reply Dermatology

Without actually seeing the lesion, it is impossible to determine.
If it is very concerning, please seek medical attention as soon as possible.

Reply Date: 2016/06/27

More Info

When it comes to moles or lesions on the scrotum and penis, it is essential to approach the situation with caution and awareness of the potential implications for skin health. The presence of multiple moles, especially in sensitive areas like the genital region, can be concerning for some individuals, particularly when there are changes in appearance or texture.

Moles, or nevi, are common skin growths that can vary in color, shape, and size. They are typically benign, but certain characteristics can indicate a need for further evaluation. The ABCDE rule you mentioned is a helpful guideline for assessing moles for signs of melanoma, a serious form of skin cancer. The ABCDE criteria stand for:
- Asymmetry: One half of the mole does not match the other half.

- Border: The edges are irregular, ragged, or blurred.

- Color: The color is not uniform and may include shades of brown, black, or even red, white, or blue.

- Diameter: The mole is larger than 6mm (about the size of a pencil eraser).

- Evolving: The mole is changing in size, shape, or color.

In your case, you mentioned that most of your moles do not exhibit asymmetry, and only a few do. This is a positive sign, as asymmetry can be a red flag. However, it is crucial to consider other factors, such as the size, color, and any changes over time. If you notice any of the following, it is advisable to seek medical attention:
1. Changes in Appearance: If any of your moles start to change in size, shape, or color, this warrants a professional evaluation.

2. Itching or Bleeding: If a mole becomes itchy, painful, or starts to bleed, it is essential to consult a healthcare provider.

3. New Moles: The development of new moles, especially after the age of 30, should be assessed by a dermatologist.

4. Family History: If you have a family history of skin cancer or melanoma, it is wise to be more vigilant and consult a dermatologist regularly.

In general, having multiple moles in the genital area is not uncommon, but it is essential to monitor them for any changes. If you have concerns about the appearance of your moles or if they are causing you anxiety, it is always best to consult a dermatologist. They can perform a thorough examination and, if necessary, conduct a biopsy to rule out any malignancy.

In addition to monitoring your moles, practicing sun safety is crucial, even in areas that are not typically exposed to sunlight. Using sunscreen, wearing protective clothing, and avoiding tanning beds can help reduce the risk of skin cancer.

In summary, while having multiple moles on the scrotum and penis can be normal, it is essential to remain vigilant and seek medical advice if you notice any concerning changes. Regular check-ups with a dermatologist can help ensure that your skin health is monitored and maintained.

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