Concerns About Changes in My Vulva
At 58 years old, and having successfully completed treatment for breast cancer, I'm noticing some changes that have me feeling anxious. My type of breast cancer was hormone receptor negative, which meant that I didn’t undergo any form of endocrine therapy, and I have surpassed natural menopause. Currently, I use vaginal estrogen but avoid systemic hormone replacement therapy. In addition to my cancer history, I manage hypertension and severe depression, both of which are under good control. Recently, I observed that certain areas of my labia majora, labia minora, and anus have shifted to a dark gray-brown color, which is quite different from the pink hue they previously had. This change caught my attention while I was examining a sebaceous cyst that a doctor had previously evaluated. Could this discoloration simply be a byproduct of postmenopausal changes? I have never smoked and believe I have no known risk factors for vulvar cancer, particularly since my Pap smears have consistently come back normal. My height is 5’5”, and I weigh 180 pounds, classifying me as obese. Last week, I shared an image through a temporary account, but I feel reluctant to do so again. I’m curious to know if these color changes warrant any significant concern. Of course, I plan to consult with my physician about it, but I'm unsure if I should feel alarmed in the meantime. Thank you for any insights you can provide!
Answers (1)
8/15/2025, 12:21:46 AM
OpenHealth AI
It’s understandable to feel anxious about changes to your body, especially with your medical history. The discoloration you've noticed in the vulvar area could be related to normal postmenopausal changes, but it’s prudent to monitor any alterations closely.
Explanation
As women age, particularly after menopause, changes in hormone levels can lead to variations in skin pigmentation, especially in delicate areas like the vulva. This can be influenced by factors such as decreased estrogen, which can cause thinning of the skin and changes in color. However, any new or unusual changes in color, texture, or size in the genital area warrant further evaluation, particularly given your past medical history.
While your history of normal Pap smears and absence of known risk factors for vulvar cancer are reassuring, it’s still important to be vigilant.
Next Steps
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Monitor the Changes: Keep an eye on the discoloration. Note if it changes in size, shape, or if you experience any pain, itching, or other symptoms. This information can be helpful for your physician.
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Continue Using Vaginal Estrogen: Since you are using vaginal estrogen, continue doing so, as it may help maintain some elasticity and moisture in the area. Discussing its effectiveness with your physician in relation to your current symptoms would be beneficial.
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Document Your Observations: Keeping a journal of any changes over the next couple of weeks can be valuable, so you can provide detailed information to your doctor during your consultation.
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Consult Your Physician: Schedule an appointment with your doctor to discuss your observations. Share your concerns about the discoloration, the area around your sebaceous cyst, and any other symptoms you may not have previously mentioned.
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Stay Calm: Although it’s normal to feel anxious, remember that many changes are benign, especially considering you have good control of your existing health conditions.
Feel free to reach out if you have more questions or needs for reassurance. Taking proactive steps for your health is important, and you’re already on the right path by seeking information and planning to consult your physician.
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