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Is it possible to lighten or treat my congenital pigmented birthmark?

**Background Information:** **Age:** 20 **Gender:** Male **Height:** Approximately 5’11” **Weight:** Roughly 135 lbs **Ethnic Background:** Asian **Current Medications:** None **Substance Use:** Neither smoking nor drug use **Known Medical Issues:** None **Location of Concern:** Left side of forehead, slightly spreading into the scalp and eyebrow area **Duration of Birthmark:** Present since birth On my left forehead, there is a flat pigmented birthmark that has been there since I was born. Initially, it had a lighter hue reminiscent of a café-au-lait shade and was quite small. However, over my childhood, it became darker and grew larger. Since I turned 15, it has remained stable without any significant change (I am currently 20). **Characteristics of the Birthmark:** - Level surface (not elevated) - Dark brown color (not black) - No hair growth in the affected area - Absence of pain, itching, bleeding, or textural differences - Skin texture surrounding the mark feels normal - Slightly extends into the scalp and eyebrow region but does not overlap with the eyebrow itself I would like to comprehend what this birthmark most likely indicates (e.g., is it a congenital melanocytic nevus, a café-au-lait macule, or another type of pigmented mark?). **My Primary Inquiries:** 1. Considering the description and photograph, what would be the probable diagnosis? 2. Are laser options (such as Q-switched or picosecond lasers) generally effective for the cosmetic reduction of this birthmark? 3. Is complete elimination a feasible goal, or is partial fading the more standard result? 4. Are there chances of the pigmentation returning or worsening post-laser treatment? 5. Are there alternative methods that might be safer or yield better outcomes without using lasers?

Thyroid DisordersInternal MedicineEndocrinology
Male25-34
2 minutes ago

At My Wits’ End: Battling Chronic Headaches Since Age 13

Let me preface this by saying I’ve just gone through an emotional breakdown, so I apologize in advance if my thoughts are a bit jumbled. I also realize this might not be the first time I’ve discussed this issue—if you’ve seen a similar post from another account, it was likely me. For the past five to six years, which feels like a lifetime, each time I step outdoors, I’m hit with a headache within minutes—usually between five and ten. It doesn’t make a difference what the weather is like; whether it’s pitch dark, blazing sunshine, icy temps, sweltering heat, or even rainy and snowy conditions, the outcome is always the same. My head throbs regardless of my state—whether I’m hungry, thirsty, well-rested, or sleep-deprived. Adjusting my glasses or contacts doesn't seem to alleviate the pressure, and wearing sunglasses doesn’t make a dent. I’ve tried various hairstyles, from a pixie cut to long locks, and nothing has changed the headache pattern. I’ve run through every conceivable factor, yet I still find myself in pain. The discomfort doesn’t localize to one precise area; it can attack either side of my head along with the related eye, it may affect just my eyes, or encompass my entire head and vision as well. Although my eyesight isn’t great, I’ve trialed wearing contacts and even attempted outdoor walks without any eyewear, but the headaches persist. They tend to intensify in colder and brighter conditions, although I still experience them during nighttime or when the temperature is pleasant. I've visited my doctor on two occasions. During my last visit while I was in high school, around 14 or 15 years old, he handed me a piece of paper and suggested I document when these headaches occur. I diligently logged my experiences for a week but quickly grew frustrated as all I recorded was "headache while walking to school at 8 a.m., headache while walking from school at 3 p.m." I returned with my notes, only for him to dismiss them, saying it wasn’t sufficient for him to draw conclusions. The pain consistently varied from about a 5 to an 8 on a scale of ten. I’ve sought answers far and wide—posting here, asking on Quora, and scouring the internet. I even consulted medical professionals—yet there have been no answers. In summary: I’m experiencing mild to severe headaches each time I’m outdoors without any discernible cause. I’m an 18-year-old female at my wit's end.

HeadacheJoint PainChronic Pain
Male25-34
22 minutes ago