Should You Be Concerned About Moles in Your Private Area? - Dermatology

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Moles in the genital area?


Hello Doctor, I noticed two moles on the foreskin of my genital area while showering.
One is a small, reddish mole, possibly less than 1mm, and slightly raised when viewed from the side.
The other is larger, about 2mm, and very dark, almost shiny, with a more pronounced elevation.
I read online that moles that are prone to friction can easily undergo changes, but it's really unavoidable in this location.
Should I seek medical attention for these two moles, or is it sufficient to monitor them regularly? In your opinion, is there a high chance of them undergoing changes?

., 20~29 year old female. Ask Date: 2023/12/05

Dr. Wu Yuxin reply Dermatology


First, seek medical attention to check for any abnormalities.
If there are none, continue to monitor the situation.

Reply Date: 2023/12/05

More Info


When it comes to moles or lesions in the genital area, it is essential to approach the situation with caution and awareness. Moles, or nevi, are common skin growths that can vary in color, size, and texture. While many moles are benign, certain characteristics can raise concerns about potential malignancy, particularly in areas prone to friction and irritation, such as the genital region.

In your case, you mentioned two moles: one that is small and slightly raised with a reddish hue, and another that is larger, dark, and shiny. The characteristics of these moles warrant careful observation. Generally, the ABCDE rule is a helpful guideline for assessing moles for potential skin cancer:
1. Asymmetry: If you draw a line through the mole, the two halves do not match.

2. Border: Irregular, scalloped, or poorly defined edges.

3. Color: A variety of colors (brown, black, tan, red, white, or blue) within the same mole.

4. Diameter: Moles larger than 6mm (about the size of a pencil eraser) are more concerning.

5. Evolving: Any change in size, shape, color, or elevation, or any new symptom such as bleeding, itching, or crusting.

Given that one of your moles is shiny and larger, it may be prudent to seek a professional evaluation. Dermatologists can perform a thorough examination and may recommend a biopsy if there are any suspicious features. Even if the moles do not currently exhibit alarming characteristics, it is wise to monitor them for any changes over time.

Additionally, you mentioned concerns about friction, which is a valid point. Moles in areas that experience frequent rubbing or irritation can be more susceptible to changes. This friction can lead to inflammation or irritation, which may mimic the appearance of more serious conditions. Therefore, keeping the area clean and avoiding unnecessary irritation is crucial.

In terms of management, if the moles are not causing discomfort or showing signs of change, regular self-examination and monitoring may suffice. However, if you notice any changes or if the moles become painful, itchy, or bleed, it is essential to consult a healthcare provider promptly.

In summary, while many moles are harmless, the characteristics of your moles suggest that a professional evaluation is warranted. Regular monitoring and awareness of any changes are key to ensuring your health and peace of mind. If you have any further concerns or questions, do not hesitate to reach out to a dermatologist or healthcare provider for personalized advice and care.

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