Hormonal Imbalance: The Link Between Moles and Menstrual Irregularities

Q: Hormonal Imbalance: The Link Between Moles and Menstrual Irregularities

Hello, Ms. <br>Hsieh： The formation of moles is due to the accumulation of melanocytes, formally known as melanocytic nevi. <br>This is different from pigmented nevi, as most common moles are benign, while melanocytic nevi may undergo pathological changes. <br>To determine if a m

Endocrine disorder

Hello, doctor.
Over the past year, I've noticed that I'm particularly prone to developing moles, especially red moles, although I also have black moles.
I realized that the number of moles has been increasing since I turned 20.
I'm wondering if this is a warning sign from my body or if it could be related to hormonal issues.
Since I turned 20, my menstrual cycle has also become irregular, often coming normally for a month or two before becoming erratic.
During these irregular periods, my menstruation lasts too long and turns brown, or it drips for nearly two to three weeks.
On the first couple of days, I also tend to experience diarrhea.
After each cycle, I usually buy herbal supplements like Si Wu Tang to replenish my blood or drink red date and goji berry tea.
Additionally, I have been experiencing significant hair loss.
I previously consulted a gynecologist who diagnosed me with polycystic ovary syndrome (PCOS).
Six months ago, I visited a traditional Chinese medicine practitioner who suggested that I might have liver and kidney deficiency and insufficient qi and blood, possibly due to staying up late.
I managed to get my condition back on track, but last month my cycle became irregular again, which has been quite troubling.
Now, I hesitate to eat cold foods each month.
Is there a connection between developing moles and hormonal imbalance? Could this also be related to my irregular menstrual cycles? Can traditional Chinese medicine help with mole development? Should I consider seeing a TCM practitioner again? Thank you.

Miss Hsieh, 20~29 year old female. Ask Date: 2024/05/27

Dr. Lai Huilian reply Traditional Chinese Medicine

Hello, Ms.
Hsieh: The formation of moles is due to the accumulation of melanocytes, formally known as melanocytic nevi.
This is different from pigmented nevi, as most common moles are benign, while melanocytic nevi may undergo pathological changes.
To determine if a mole has changed, you can use the ABCDE rule for observation: Asymmetry - whether the shape of the mole is symmetrical; Border - normal moles have clear, regular edges, while malignant moles have irregular and notched borders; Color - whether the color of the mole is uniform; Diameter - if the mole's diameter exceeds 0.6 cm; and Evolving - if the mole rapidly enlarges or becomes raised within a few weeks to months, caution is advised.
The development of moles is largely determined by genetic factors, while environmental influences include sun exposure, hormonal changes, and decreased immunity.
Preventative measures mainly involve sun protection and avoiding late nights.
If you are on hormonal medications or immunosuppressants, it is important to closely monitor the growth and changes of moles.
If there is a sudden increase in the number of moles, in addition to monitoring for changes, it is advisable to have a dermatologist examine them.
Irregular menstruation is related to a polycystic ovarian condition, and it is recommended to consult a qualified traditional Chinese medicine practitioner for body conditioning.
Dr.
Lai Hui-Lian, Department of Traditional Chinese Medicine, Nantou Hospital.

Reply Date: 2024/05/27

More Info

Hormonal imbalance can indeed have a significant impact on various bodily functions, including skin changes such as the development of moles, as well as menstrual irregularities. Your concerns about the increase in moles, particularly red moles, alongside your menstrual irregularities, are valid and warrant further exploration.

Firstly, the appearance of new moles or changes in existing moles can be influenced by hormonal changes in the body. Hormones, particularly estrogen and progesterone, can affect skin pigmentation and the growth of skin cells. This is often observed during puberty, pregnancy, or when there are fluctuations in hormonal levels, such as in conditions like polycystic ovary syndrome (PCOS), which you mentioned you have been diagnosed with. PCOS is characterized by hormonal imbalances that can lead to various symptoms, including irregular menstrual cycles, weight gain, and skin changes, including the development of more moles or skin tags.

Regarding your menstrual irregularities, it is common for women with hormonal imbalances to experience changes in their menstrual cycles. This can manifest as prolonged periods, irregular bleeding, or changes in the flow. The symptoms you described, such as having periods that last too long or are inconsistent, can be attributed to the underlying hormonal issues associated with PCOS. Additionally, the gastrointestinal symptoms you experience, such as diarrhea during your menstrual cycle, can also be linked to hormonal fluctuations, as hormones can affect gut motility.

You mentioned that you have sought treatment from both gynecologists and traditional Chinese medicine practitioners. It is essential to have a comprehensive approach to managing hormonal imbalances. Traditional Chinese medicine (TCM) often focuses on restoring balance within the body, which may include dietary changes, herbal remedies, and lifestyle modifications. If you feel that TCM has provided some benefits, it may be worth continuing or revisiting this approach, especially if you are experiencing symptoms related to liver and kidney health, as you mentioned.

In terms of managing your symptoms, it is crucial to maintain a healthy lifestyle, including a balanced diet, regular exercise, and adequate sleep. Avoiding excessive stress and ensuring you have a regular sleep schedule can also help regulate hormonal levels. Additionally, you may want to consider tracking your menstrual cycle and any accompanying symptoms to provide your healthcare providers with detailed information that can assist in diagnosis and treatment.

As for the relationship between moles and hormonal imbalances, while there is no direct causal link established in medical literature, it is plausible that hormonal fluctuations can lead to changes in skin appearance. If you notice any concerning changes in your moles, such as asymmetry, irregular borders, or changes in color, it is advisable to consult a dermatologist for a thorough evaluation.

In summary, there is a potential connection between hormonal imbalances, the development of moles, and menstrual irregularities. It is essential to continue working with your healthcare providers to address these issues comprehensively. Regular follow-ups with both gynecologists and dermatologists may provide you with a clearer understanding of your condition and help you find effective management strategies. If you feel that your current treatment plan is not addressing your concerns adequately, seeking a second opinion or exploring additional treatment options, including further evaluation of your hormonal levels, may be beneficial.

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