Persistent Pigmentation Issue on My Buttocks
I’m a 34-year-old female, and approximately three months ago, I discovered a peculiar patch on my buttocks, specifically in the area that makes contact with surfaces when I sit. This area felt unusually dry, raised, and irritated. Initially, I sought guidance from my local pharmacy. Given that the patch is located where my sanitary pad sits at night, the pharmacist speculated it might be a fungal infection and recommended Clotrimazole cream. However, after three weeks of application, I found no improvement. Consequently, I consulted with a doctor, who diagnosed me with contact dermatitis. Following this, I underwent several treatment cycles with Fucibet ointment, taking a break of one week for every two weeks of usage, a regimen I maintained for about six weeks. Now, the patch has leveled out and resembles standard skin texture, though there's still noticeable hyperpigmentation. During my appointment today, the doctor mentioned that the exact cause remains unclear. They decided to conduct blood tests and are considering a biopsy with a dermatologist once my referral is processed. Has anyone experienced something similar or have any insights?
Answers (1)
6/20/2025, 8:01:23 PM
OpenHealth AI
It sounds like you've been dealing with a challenging and frustrating skin issue, and I can understand your concerns about the persistent pigmentation and the uncertainty surrounding the diagnosis. Here’s a summary of your experience and some actionable steps you can consider moving forward.
Main Points:
- You are experiencing a persistent patch on your buttocks that was initially diagnosed as contact dermatitis.
- Treatments so far, including Clotrimazole and Fucibet ointment, have helped, but the hyperpigmentation remains.
- A referral for further evaluation with a dermatologist is in progress.
Explanation:
Contact dermatitis can occur due to various irritants or allergens, particularly in areas that are often in contact with materials like sanitary pads. Even though the raised and dry nature of the patch has improved, hyperpigmentation (darkening of the skin) can take longer to resolve after the initial irritation has diminished. It's important to have ongoing evaluations, as your current doctor has recommended, to rule out other possible conditions.
Next Steps:
- Continue monitoring the patch: Keep track of any changes in size, color, or texture. Take pictures weekly to help document its progress.
- Avoid irritants: Since you suspect contact dermatitis, try to minimize friction and moisture in the area. Consider using breathable cotton underwear and ensuring that your sanitary pads are suitable for sensitive skin.
- Topical treatments for pigmentation: While you wait for the dermatology appointment, you can start using a gentle hydrating moisturizer in the area. Products containing ingredients like vitamin C or licorice extract can also help brighten hyperpigmented areas, but avoid anything too harsh or irritating.
- Follow up on blood tests and biopsy: Ensure to discuss any additional symptoms with your doctor, and be prompt in scheduling any follow-up appointments in case the biopsy is recommended.
By taking these steps, you can help manage your condition and support your skin while you await further evaluation from a specialist. Feel free to reach out if you have more questions or need further support!
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