Black Spots in the Groin Area: When to See a Doctor - Dermatology

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There are black spots on the external genitalia?


I would like to ask, if there are three black spots in the pubic area, and one of the spots feels hard to the touch, should I first see a gynecologist?

mm, 20~29 year old female. Ask Date: 2017/04/10

Dr. Wu Yuxin reply Dermatology


Sure, you can also see a dermatologist.

Reply Date: 2017/04/10

More Info


When it comes to the appearance of black spots in the groin area, particularly in the pubic region, it is essential to approach the situation with caution and seek appropriate medical advice. The presence of three black spots, especially if one of them feels hard, could indicate a variety of conditions, some of which may require medical attention.

Firstly, it is important to understand that changes in skin pigmentation, such as the development of black spots, can arise from several causes. These can range from benign conditions like hyperpigmentation, which may occur due to friction, irritation, or hormonal changes, to more serious issues such as skin infections, cysts, or even skin cancers like melanoma. The hardness of one of the spots is particularly noteworthy, as it may suggest a more significant underlying issue.

In terms of which specialist to consult, while gynecologists are well-versed in female reproductive health, they may not be the most appropriate choice for skin-related concerns. Instead, it would be advisable to see a dermatologist or a urologist. Dermatologists specialize in skin conditions and would be able to assess the spots accurately, determine their nature, and recommend appropriate treatment if necessary. Urologists, on the other hand, specialize in urinary tract and male reproductive health and can also provide insights if the spots are related to any urological issues.

When you visit the doctor, be prepared to provide a detailed history of the spots, including when they first appeared, any changes in size or color, associated symptoms (such as itching, pain, or discharge), and any relevant medical history. This information will help the healthcare provider make a more accurate diagnosis.

In the meantime, it is crucial to avoid self-diagnosing or attempting to treat the spots without professional guidance. Avoid using over-the-counter creams or ointments that are not specifically recommended by a healthcare provider, as these could potentially irritate the area further or mask symptoms that need to be evaluated.

In summary, the appearance of black spots in the groin area, particularly with one being hard to the touch, warrants a visit to a dermatologist or urologist rather than a gynecologist. Early evaluation is key to ensuring that any potential issues are addressed promptly and effectively. Remember, your health is paramount, and seeking professional advice is always the best course of action when it comes to changes in your body.

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