Concerns About Moles on the Penis: When to See a Dermatologist?

Penile issues, moles?

Hello Dr.
Wu: I would like to ask you two questions.
I have a mole on the inner side of my foreskin, approximately 0.5 cm in diameter, with somewhat uneven color and an irregular shape.
It feels similar to the surrounding skin and is not raised.
This mole has been with me for at least three years without any changes, but after seeing some information online, I am a bit concerned about the possibility of it undergoing changes.
I would like to see a dermatologist, but I am preparing for an important exam.
Would it be acceptable to wait another two or three months before seeing a doctor, given that there are no other changes?
My second question is about another mole that was completely worn away due to an injury.
The skin that grew back did not have a mole, but after some time, the mole reappeared.
Is this a normal phenomenon?

Niming, 20~29 year old female. Ask Date: 2016/08/21

Dr. Wu Yuxin reply Dermatology

Without actually seeing the lesion, it is impossible to make a definitive diagnosis.
If it is causing significant distress, please seek medical attention as soon as possible.

Reply Date: 2016/08/21

More Info

When it comes to concerns about moles, especially in sensitive areas like the genital region, it is crucial to approach the situation with caution and awareness. Based on your description, you have a mole on the inner side of your foreskin that has been present for at least three years. It measures approximately 0.5 cm in diameter, has an uneven color, and an irregular shape, but is flat and does not protrude.
Firstly, it’s important to understand that moles, or nevi, can vary significantly in appearance. While many moles are benign, certain characteristics may raise concerns for potential malignancy, particularly the asymmetry, irregular borders, color variation, and size greater than 6 mm. The fact that your mole has been stable for three years is reassuring, but the irregularities in color and shape warrant a professional evaluation.

Regarding your question about delaying a visit to a dermatologist for two to three months, it is generally advisable to err on the side of caution when it comes to skin changes. If you notice any changes in the mole's size, shape, color, or if it becomes itchy, painful, or starts to bleed, you should seek medical attention immediately. However, if it remains unchanged, waiting a couple of months is not typically harmful, but I would recommend scheduling an appointment as soon as you can, especially if you have concerns about its appearance.

As for your second question regarding the mole that was previously removed due to trauma and later reappeared, this can occur. When a mole is removed or damaged, the skin can regenerate, and in some cases, the melanocytes (the cells that produce pigment) can reappear, leading to the regrowth of the mole. This is generally considered normal, but it is essential to monitor the area for any changes in color, size, or texture, as these could indicate a need for further evaluation.

In summary, while it may be acceptable to wait a short period before seeing a dermatologist, it is crucial to remain vigilant about any changes in your moles. Regular skin checks and awareness of any new or changing lesions are key components of skin health. If you have any doubts or if the mole changes in any way, do not hesitate to seek medical advice. It is always better to be proactive about skin health, especially in sensitive areas.

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