Concerns About Increasing Moles on the Scrotum: What You Should Know

Scrotal issues

Hello Dr.
Liu,
I am 31 years old.
A few years ago, I noticed that I had many black moles on my scrotum, most of which are flat and have not caused any discomfort, so I didn't think much of it.
However, this year I have observed a rapid increase in the number of these moles, which has now exceeded 20, and they continue to increase.
I am quite concerned! I am unsure if this is a normal phenomenon or if there is something abnormal.
What should I do? Should I schedule an appointment to determine the situation? Thank you for your assistance and help! I appreciate you taking the time to respond!

Williams, 30~39 year old female. Ask Date: 2006/03/27

Dr. Liu Jianting reply Urology

Seeing is believing! Please visit a hospital to consult a urologist for an examination.

Reply Date: 2006/03/27

More Info

Concerns about changes in moles, especially in sensitive areas like the scrotum, are valid and should be taken seriously. It’s important to understand that while many moles (or nevi) are benign, changes in their appearance, number, or characteristics can sometimes indicate underlying issues that need to be addressed.

Firstly, the presence of multiple flat black moles on the scrotum that have been stable for years and are asymptomatic (not causing discomfort) is generally not alarming. However, the rapid increase in the number of moles, as you have described, is a cause for concern. The skin can undergo various changes due to factors such as hormonal fluctuations, sun exposure, and genetic predisposition. However, a sudden increase in moles can sometimes be associated with skin conditions that require further evaluation.

In dermatology, there are specific characteristics of moles that can indicate whether they are benign or potentially malignant. The ABCDE rule is a helpful guideline for assessing moles:
- Asymmetry: If one half of the mole does not match the other half.

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

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

- Diameter: Moles larger than 6mm (about the size of a pencil eraser) should be evaluated.

- Evolving: Any change in size, shape, color, or elevation, or new symptoms such as bleeding, itching, or crusting.

Given your situation, where you have noticed a significant increase in the number of moles, it is advisable to schedule an appointment with a dermatologist. They can perform a thorough examination, potentially including a dermatoscopic evaluation, which allows for a more detailed view of the moles. If there are any concerning features, the dermatologist may recommend a biopsy to rule out skin cancer or other conditions.

In addition to monitoring the moles, it’s also important to practice good skin care and protection. Regularly applying sunscreen to all exposed skin, including the scrotum if it is exposed to sunlight, can help prevent further skin changes. Additionally, keeping an eye on any new moles or changes in existing moles is crucial.

Lastly, while it’s understandable to feel anxious about these changes, try to avoid excessive worry until you have a professional evaluation. Many skin changes are benign, but it’s always best to err on the side of caution and seek medical advice. Early detection and intervention are key in managing any potential skin issues effectively.

In summary, the rapid increase in moles on your scrotum warrants a visit to a dermatologist for a professional assessment. They will be able to provide you with the best guidance based on their findings and ensure that any necessary treatment is initiated promptly.

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