How to Manage External Moles for LGBTQ+ Individuals - Surgery

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How should individuals with external moles handle them?


Hello doctor, I have noticed an external mole near my anus.
I consulted a colorectal specialist, but he said it was nothing to worry about! I would like to know how to best manage this external mole.
As I am a gay man with anal intercourse needs, could you please advise me on the best course of action? I have attached a picture.

A-Zhi, 40~49 year old female. Ask Date: 2024/07/18

Dr. Zhang Shuhao reply Surgery


If external hemorrhoids do not present symptoms such as redness, swelling, or pain, no special treatment is necessary, and they will not affect the ability to engage in anal intercourse.
If anal intercourse is desired, adequate lubrication should be used to minimize friction and irritation to the external hemorrhoids.
If concerns are related to appearance, surgical removal may be considered; however, the postoperative appearance may not meet your expectations, so it is important to discuss this thoroughly with your doctor before proceeding.

Reply Date: 2024/07/18

More Info


When it comes to managing external moles, particularly for LGBTQ+ individuals who may have specific health concerns related to sexual activity, it is essential to approach the situation with both medical knowledge and sensitivity to the unique needs of this community.
First and foremost, it is crucial to understand what a mole is. Moles, or nevi, are common skin growths that can appear anywhere on the body, including the anal area. They are typically benign, but changes in their appearance, such as asymmetry, irregular borders, color changes, or itching, can indicate potential issues, including skin cancer. Therefore, any new or changing mole should be evaluated by a healthcare professional.

In your case, since you have discovered a mole near your anus, it is advisable to monitor it closely. If the rectal specialist you consulted deemed it non-concerning, it may be benign. However, if you notice any changes or if it causes discomfort, it would be prudent to seek a second opinion from a dermatologist or another specialist who has experience with anal and perianal conditions.
For LGBTQ+ individuals, especially those who engage in anal intercourse, it is vital to maintain good anal health. Here are some steps you can take to manage your external mole and overall anal health:
1. Regular Monitoring: Keep an eye on the mole for any changes in size, shape, color, or texture. Document any changes with photographs to discuss with your healthcare provider.

2. Hygiene: Maintain proper hygiene in the anal area. Regular cleaning with mild soap and water can help prevent irritation or infection.

3. Avoid Irritation: If the mole is in a location that may be irritated by clothing or during sexual activity, consider using protective barriers, such as soft cotton underwear, to minimize friction.

4. Consult a Specialist: If you have concerns about the mole or if it changes, consult a dermatologist or a proctologist who can perform a thorough examination. They may recommend a biopsy if there are any signs of malignancy.

5. Discuss Sexual Health: If you are sexually active, particularly in the context of anal intercourse, discuss your sexual health with your healthcare provider. They can provide guidance on safe practices and any necessary screenings for sexually transmitted infections (STIs).

6. Mental Health Support: Engaging in open conversations about sexual health can sometimes be challenging, especially within the LGBTQ+ community. Consider seeking support from LGBTQ+ health organizations or mental health professionals who understand the unique challenges faced by this community.

7. Education: Educate yourself about skin health and the signs of skin cancer. Resources from reputable organizations, such as the American Academy of Dermatology, can provide valuable information.

In conclusion, while the initial assessment by your rectal specialist may have indicated that the mole is not a concern, it is essential to remain vigilant and proactive about your health. Regular monitoring, maintaining good hygiene, and consulting with specialists when necessary are key steps in managing external moles effectively. Remember, your health is paramount, and seeking multiple opinions is always a valid approach to ensure your peace of mind.

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