New Black Mole on Skin: When to See a Dermatologist?

A newly developed black mole?

If a new black mole has appeared on the foreskin and it feels similar to a pimple when touched during bathing, should I see a dermatologist for examination? Thank you.

A Jie, 40~49 year old female. Ask Date: 2021/02/08

Dr. Wu Yuxin reply Dermatology

Medical regulations state that "a physician must personally examine a patient before providing treatment or prescribing medication..." Therefore, online diagnosis is also not permitted.
If you are experiencing significant distress, it is advisable to seek medical attention as soon as possible.

Reply Date: 2021/02/08

More Info

When it comes to the appearance of a new black mole on the skin, particularly in sensitive areas such as the genital region, it is essential to approach the situation with caution and awareness. The emergence of new moles or changes in existing moles can be a normal occurrence, especially for individuals with darker skin tones, where hyperpigmentation and new mole formation can be more common. However, it is crucial to differentiate between benign changes and potential signs of skin cancer, such as melanoma.

If you notice a new black mole that feels different from your other moles or has characteristics that raise concern, it is advisable to consult a dermatologist. Dermatologists are specialists trained to evaluate skin conditions, including moles, and can provide a thorough examination. They will look for specific characteristics that may indicate a need for further investigation, such as asymmetry, irregular borders, multiple colors, a diameter larger than a pencil eraser, or any changes in size, shape, or color over time.

In your case, since you mentioned that the mole feels similar to a pimple, it could be a benign condition like a seborrheic keratosis or a dermatofibroma, but it is essential to have a professional assessment to rule out any serious conditions. The link you provided with an image can be helpful for the dermatologist to assess the mole visually, but it is always best to have an in-person consultation for a comprehensive evaluation.

In addition to seeking professional advice, it is important to monitor the mole for any changes. Keep an eye on its size, shape, color, and any associated symptoms such as itching, bleeding, or pain. If you notice any of these changes, it is crucial to seek medical attention promptly.

Regarding the potential for pain during a biopsy or examination, dermatologists typically use local anesthesia to minimize discomfort during procedures. The biopsy itself is a straightforward process where a small sample of the mole is taken for laboratory analysis. This procedure is generally well-tolerated, and the results can provide valuable information regarding the nature of the mole.

In summary, if you have a new black mole, especially in a sensitive area, it is wise to consult a dermatologist for an evaluation. They can provide a proper diagnosis and recommend any necessary treatment. Early detection and intervention are key in managing skin conditions effectively, particularly when it comes to potential skin cancers. Remember to practice sun safety and skin care to maintain overall skin health, and do not hesitate to reach out to a healthcare professional with any concerns regarding changes in your skin.

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