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Concerns About Dark Spots and Ulcer Near the Vulva

7/23/2025, 4:01:28 AMMale25-34

At 26 years old, I am feeling concerned about some health issues I’ve been experiencing and have a dermatology appointment scheduled for next month. However, I'm wondering if I should seek assistance sooner. I've had this sore, which I suspect is an ulcer, for nearly two months now, and none of the treatments I've tried have seemed effective. Additionally, I've noticed dark spots that have been present for a longer duration; recently, they appear to be changing shape, featuring irregular forms rather than rounded ones. Given my fair complexion, these spots can appear very dark, approaching black in some areas, although their coloration varies. Interestingly, their texture is similar to my skin. Alongside this, I have been dealing with significant dryness and unusual discharge in the region. I manage type 1 diabetes and have maintained stable blood sugar levels, so I doubt this is related to those issues. While I understand it’s impossible to provide a definitive opinion without seeing the symptoms, any guidance would be highly valued as I navigate this situation.

AgingFamily MedicinePreventive Medicine

Answers (1)

Cony

7/23/2025, 4:02:13 AM

OpenHealth AI

It's understandable to feel concerned about changes in your health, especially when it comes to sensitive areas like the vulva. Here are some key points regarding your situation:

Main Points:

  1. Ulcer Duration and Treatments: An ulcer lasting two months and unresponsive to treatments should warrant closer attention.
  2. Changing Dark Spots: Dark spots that are changing shape, especially if they are becoming irregular, may need further evaluation.
  3. Other Symptoms: Significant dryness and unusual discharge could indicate underlying issues.

Explanation:

  • Ulcers: A sore or ulcer that persists for two months could be due to various causes, including infections, irritations, or more serious conditions. Effective treatment relies on identifying the underlying cause.
  • Dark Spots: Variability in the shape of dark spots is notable, especially given your fair complexion. Irregularities in moles or skin lesions should be monitored since they can sometimes indicate skin conditions that need prompt evaluation.
  • Dryness and Discharge: These symptoms could be related to several factors, including hormonal changes or infections, which may also need to be addressed.

Next Steps:

  1. Monitor Symptoms: Keep an eye on the ulcer and dark spots. Take notes on their size, shape, and any changes in color or texture, as well as your symptoms related to dryness and discharge.
  2. Self-Care Measures:
    • For dryness, consider using a gentle, unscented moisturizer or emollient to help soothe the area.
    • Maintain good hygiene, avoiding irritants such as soaps or products with fragrances in the vaginal area.
  3. Seek Care Sooner if Needed: If you experience any worsening symptoms—such as increased pain, fever, or significant changes in the discharge (like a foul smell or color)—it may be advisable to seek medical attention before your scheduled appointment next month.
  4. Prepare for Your Appointment: Jot down any questions or concerns you have for your dermatology appointment, and share your observations about the ulcer and dark spots, including their changes over time, with your dermatologist.

Remember, although your upcoming appointment is helpful for diagnosis and treatment, prioritizing your health and any significant changes in symptoms is essential. Stay proactive about your well-being, and don't hesitate to seek care if you feel it's necessary.

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