Managing and Caring for Skin Tags During Pregnancy: A Guide for Expecting Mothers - Obstetrics and Gynecology

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Managing skin tags and other skin conditions during pregnancy can be challenging for expecting mothers. Skin tags, or acrochordons, are benign growths that can appear on various parts of the body, including the genital area. They are generally harmless but can cause discomfort, especially if they become inflamed or infected. Here’s a comprehensive guide for managing skin tags during pregnancy, addressing your concerns and providing additional medical insights.


1. Understanding Skin Tags During Pregnancy
Skin tags are common during pregnancy due to hormonal changes that can lead to increased skin friction and growth of these benign lesions. They are typically painless but can become irritated, especially in areas where there is friction, such as the thighs or underarms. In your case, the growth you described as a "粉瘤" (which translates to "lipoma" or "sebaceous cyst") may require careful evaluation, especially since it has become painful and swollen.


2. Symptoms and Management
If you notice that the skin tag has become larger and painful after drainage, this could indicate inflammation or infection. It is not uncommon for a skin tag to become irritated, especially if it has been manipulated. Here are some steps to consider:
- Monitor Symptoms: Keep an eye on the size and pain level of the growth. If it continues to grow or becomes increasingly painful, it’s essential to seek medical advice sooner than your scheduled appointment.


- Medication: If your doctor prescribed antifungal medication, it is crucial to complete the course as directed. However, if symptoms persist after finishing the medication, a follow-up visit is warranted.

- Avoid Irritation: Try to minimize friction in the area by wearing loose-fitting clothing. Avoid tight underwear or clothing that may exacerbate the irritation.


3. Preventive Measures Postpartum
After childbirth, if skin tags or similar growths continue to be a concern, there are several options for management:
- Surgical Removal: If skin tags become bothersome or recurrent, dermatological procedures such as cryotherapy, laser therapy, or surgical excision can be considered. These procedures are generally safe and effective.

- Skin Care: Maintaining good hygiene and using non-irritating skin products can help prevent the formation of new skin tags. Keeping the area dry and clean is essential.


4. Impact on Delivery
Generally, skin tags or benign growths in the genital area should not affect your ability to have a natural delivery. However, if there is significant irritation or infection, it is crucial to discuss this with your healthcare provider, as they may need to address the issue before delivery.


5. Lifestyle Considerations
Wearing loose-fitting clothing, especially during pregnancy, can help reduce friction and irritation. While it’s common to wear dresses or skirts during pregnancy, ensure that they are comfortable and do not rub against sensitive areas.


6. Causes of Skin Tags
The exact cause of skin tags is not fully understood, but they are associated with hormonal changes, obesity, and friction. During pregnancy, hormonal fluctuations can lead to increased skin growth. Maintaining a healthy weight and avoiding excessive friction can help manage the occurrence of skin tags.


Conclusion
In summary, while skin tags are generally harmless, any significant changes in size, color, or pain should be evaluated by a healthcare professional. It’s essential to communicate openly with your obstetrician or dermatologist about your concerns, especially during pregnancy. They can provide tailored advice and treatment options that are safe for both you and your baby. If you experience persistent symptoms, do not hesitate to seek medical attention before your next scheduled appointment. Your health and comfort are paramount during this important time.