OpenHealth Q&A

Get answered by medical professionals

Skin Marks on My Girlfriend

6/17/2025, 12:50:22 AMMale25-34

My girlfriend, a 24-year-old transwoman assigned male at birth, has been experiencing some concerning skin marks recently. She is currently on a regimen of estradiol and spironolactone. These new spots started to show up just within the last few days, although she previously noticed similar marks when she had a prolonged break from her hormone therapy. She has not been consistent with her medication intake lately, and the heat in her home has been quite extreme, which may or may not be contributing factors. The spots typically begin as reddish or pinkish, eventually transitioning to a brown shade. In contrast, the older spots she had never seem to fade and remain visible. While they are somewhat raised, they are neither flaky nor itchy, and she tends to only become aware of them during casual observations.

Dry SkinRashDermatitis

Answers (1)

Cony

6/17/2025, 12:50:42 AM

OpenHealth AI

It sounds like your girlfriend is dealing with new skin marks that have developed recently, which can be concerning. Considering her use of hormone therapy and recent inconsistencies in medication, along with environmental factors like heat, there are several possible explanations for these changes in her skin.

Key Points:

  1. Potential Causes of Skin Marks: New reddish or pinkish skin spots can be related to various factors such as hormonal fluctuations, heat rashes, or irritation. The fact that these marks developed after inconsistencies in her hormone therapy suggests a possible link.

  2. Old Spots Comparison: The older, persistent spots and the newer ones could indicate different skin issues altogether. It's important to observe if these new spots behave differently than the established ones.

Explanation:

Skin changes can occur for multiple reasons, ranging from harmless to more serious concerns. Hormonal therapies can affect skin texture and conditions, leading to growths or discoloration. Factors such as heat and moisture can also prompt skin reactions, including irritation or rashes.

Next Steps:

  1. Monitor Symptoms: Keep a close eye on the spots. Note if they change in size, color, or if new ones appear. Take pictures to track their evolution over time.

  2. Hydration and Moisture Management: Ensure she stays well-hydrated and use a gentle, hydrating moisturizer to help maintain skin barrier function. If her home environment is very dry due to heat, consider using a humidifier.

  3. Medication Adherence: Encourage her to return to a consistent medication regimen for her hormone therapy, as fluctuations can significantly affect her skin and overall health.

  4. Limit Sun Exposure: Protect her skin from excessive sun exposure, which can worsen discoloration. Wearing sunscreen and protective clothing when outdoors can help.

  5. Skin Care Routine: Implement a gentle skincare routine, avoiding harsh cleansers or products that can irritate her skin. Look for non-comedogenic and hypoallergenic products.

  6. Evaluation of Symptoms: If the spots do not improve or continue to change, consider seeking a dermatologist's advice to evaluate the marks and ensure they are not indicative of a more significant issue.

Taking these steps can help manage her current skin condition while addressing potential contributing factors. If you have any more questions or concerns, feel free to ask!

Related Questions

Enigmatic Skin Condition

I’ve recently stumbled upon this community and wanted to share my experience! Here's my story: - At the age of 22, I noticed peculiar marks appearing on both of my hands. They weren’t itchy or red, but there was some slight swelling in my hands. - I felt perfectly healthy otherwise, without any additional symptoms. - These marks extended from my fingertips to about the halfway point on my forearms. - Over a span of two weeks, they began as subtle symptoms beneath the skin and eventually surfaced, with some areas developing blisters. - Prior to this, I had experienced chicken pox as a child at three years old and shingles on my back at the age of 19. Since then, I have had no other skin-related problems, and I’ve never dealt with cold sores, warts, or anything similar. - I consulted a general practitioner at the time, who speculated that it might be stress-related as he eliminated the possibility of contact dermatitis. This was shortly after I graduated from college about a month earlier. This incident occurred back in 2008, and I haven't encountered anything like it again. I would appreciate any insights or thoughts you may have!

MolesDry SkinDermatitis
Male25-34
9 hours ago

Concern Over New Skin Growth on Thigh

I’ve noticed a skin lesion about 20mm in size on my thigh, and I’m uncertain about its nature. It’s been worrying me, and I would appreciate any insights or information regarding possible causes or conditions it might be related to. Has anyone else experienced something similar? Any advice on how to proceed would be greatly valued.

Dry SkinDermatologySkin Cancer
Male25-34
9 hours ago

Identifying Mysterious Nose Spots

Greetings everyone! I'm a 32-year-old woman, and I don't take any medications. For several months now, I've been dealing with two spots on my nose that simply won’t go away. I maintain a skincare routine that includes cleansing, toning, and moisturizing, but despite my efforts, these spots remain persistent. They lack a noticeable head, which makes it impossible for me to pop them, and they neither cause discomfort nor have they grown larger over time. I woke up one day to discover them, and they’ve been there ever since. My apologies for the poor image quality.

Dry SkinRashSkin Cancer
Male25-34
20 hours ago

Seeking Help for a Skin Rash

Age: 20 years Gender: Male Height: 5 feet 10 inches Weight: 130 pounds Ethnicity: Asian Length of Symptoms: Approximately one week, although the larger area of irritation has been developing for about three weeks. Affected Area: My arms Medical History: No known health issues Current Treatments: Not taking any medications at the moment.

DermatologyRashDermatitis
Male25-34
1 day ago

Evaluating a Suspicious Spot on the Skin

At 33 years old, I've recently observed a pale spot developing on my forehead. This soft, raised area has been increasing in size rapidly and was not present back in October. I've noticed it subtly emerging in some earlier photos as well, highlighting the change over time. The spot does not exhibit any symptoms like itching, scabbing, or flaking. During summer months, I do spend considerable time outdoors, but I consistently apply sunscreen for protection. My esthetics specialist, whom I consult every other month for facials, mentioned that this spot does not appear to be related to acne and does not seem to contain any fluid or resemble milia. Given my upcoming medical appointments, I’m attempting to determine which ones should be addressed first. I discontinued spironolactone two months ago for managing elevated androgen levels and borderline polycystic ovary syndrome (PCOS), after being on it for approximately two years. Additionally, I stopped taking Wegovy one month ago as my husband and I are intending to try for a child following the appropriate waiting period. Currently, I am not taking any vitamins, medications, or supplements.

MolesSkin CancerDermatitis
Male25-34
1 day ago