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Dark Brown Discoloration, On Left Labia Minor Of Vagina, Sexually Active, One Partner. Causes ?

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Posted on Fri, 8 Jun 2012
Question: I have just noticed a dark brown discolouration on my left labia minora. I am eighteen years old, sexually active with only one sexual partner. The discolouration is about two centimetres long.
doctor
Answered by Dr. Aashish Raghu (47 minutes later)
Hello.

Thanks for posting your query.

I would like to know some more things to guide you better.

1. Has the discolouration come after using the present medication that you are on?

2. Is there any itching, pain or roughness of the dark brown discoloration?

3. Do you have any vaginal discharge?

4. Have you recently changed to a new sanitary pad brand?

There are many possible causes for discoloration of labia moinora. More common causes like allergic reaction, infection, fixed drug reaction, pigmentation problems like benign vulvar melanosis, lentigo etc.

Some discolouration can occur due to previous infection or even STDs.

Since you are on Lexapro and Levlen ED, these drugs have reported to cause dark brown patch like lesion on vulva.

Most commonly it is benign and not XXXXXXX in most cases. Usually no treatment is required if it is Benign Melanosis, but needs to be evaluated thoroughly for surgical excision.

If you have recently changed sanitary pad brand, it can cause allergic dermatitis as well which can present in similar fashion which may be associated with itching in most cases.

Do drink plenty of water to prevent symptoms of urine you may need to get a urine test as well.

Do consult your Gynaecologist and get a thorough evaluation for most of the above mentioned pathologies and also discuss the possibility of drug reaction as well. You can also get a PAP smear since you are sexually active to be safe.

I hope I have answered your query. I will be available to answer your follow up queries.

Regards,




Above answer was peer-reviewed by : Dr. Jyoti Patil
doctor
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Follow up: Dr. Aashish Raghu (10 hours later)
Thanks for your answer. I will make an appointment with a gynecologist to have it looked at. It has appeared after I started on the medication, and there is no itching or discharge. I haven't changed pad brands - I also use tampons if that helps at all?

In terms of roughness, yes, it is a bit rough.
doctor
Answered by Dr. Aashish Raghu (2 hours later)
Hi again,

There is a possibility it could be fixed drug eruption which is not harmful. Anyway, do get it examined to rule out other conditions as mentioned above.

Avoid using tampon too long as it can be XXXXXXX if left inside for a long time. This lesion is less likely due to tampon.

Since there is no itching or vaginal discharge, there is less chance it is an allergic reaction or infection as well. It may go in favour of benign melanosis which is not harmful.

Do get it confirmed at the Doctor's examination.

Eat healthy. Keep yourself well hydrated. Exercise daily and keep fit.

Wishing you good health.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
Dr.
Dr. Aashish Raghu

Orthopaedic Surgeon

Practicing since :2011

Answered : 5482 Questions

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Dark Brown Discoloration, On Left Labia Minor Of Vagina, Sexually Active, One Partner. Causes ?

Hello.

Thanks for posting your query.

I would like to know some more things to guide you better.

1. Has the discolouration come after using the present medication that you are on?

2. Is there any itching, pain or roughness of the dark brown discoloration?

3. Do you have any vaginal discharge?

4. Have you recently changed to a new sanitary pad brand?

There are many possible causes for discoloration of labia moinora. More common causes like allergic reaction, infection, fixed drug reaction, pigmentation problems like benign vulvar melanosis, lentigo etc.

Some discolouration can occur due to previous infection or even STDs.

Since you are on Lexapro and Levlen ED, these drugs have reported to cause dark brown patch like lesion on vulva.

Most commonly it is benign and not XXXXXXX in most cases. Usually no treatment is required if it is Benign Melanosis, but needs to be evaluated thoroughly for surgical excision.

If you have recently changed sanitary pad brand, it can cause allergic dermatitis as well which can present in similar fashion which may be associated with itching in most cases.

Do drink plenty of water to prevent symptoms of urine you may need to get a urine test as well.

Do consult your Gynaecologist and get a thorough evaluation for most of the above mentioned pathologies and also discuss the possibility of drug reaction as well. You can also get a PAP smear since you are sexually active to be safe.

I hope I have answered your query. I will be available to answer your follow up queries.

Regards,