Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

166 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes blackened labia minora and anus with white patches?

Answered by
Dr.
Dr. S Patra

OBGYN

Practicing since :2011

Answered : 4047 Questions

default
Posted on Mon, 1 Sep 2014 in Women's Health
Question: My labia minora and anus have turned black with white patches. I have also developed a painful pimple like bump on my right labia just before it connects to the clitoris hood. The bump is growing larger. My anus and vulva have been itchy and uncomfortable for several months. I also have a yellowish discharge. The PA looked at it and dismissed the bump, black skin and discharge, but diagnosed the white patch as Lichen Sclerosis without biopsy. She sent me home with a steroid cream. I have been suffering from systemic chronic inflammation as well. I am concerned that there is more to this diagnosis especially since it was examined by a PA and not a MD. Please advise. Thank you.
doctor
Answered by Dr. S Patra 18 minutes later
Brief Answer:
UPLOAD FEW GOOD QUALITY IMAGES.

Detailed Answer:
Hello,

Thanks for writing to us.

I have understood your concern regarding white patches. Kindly, upload more CLEAR and GOOD quality images of the affected area in different angle.

It will help to understand properly and assist you better with proper guideline.

Waiting for your response and images.

Regards,
Dr S Patra
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. S Patra 57 minutes later
I'm not just concerned about the white patches. I suspect that the 'bump', blackened skin, white patches, itchiness and general discomfort are all connected. My vulva was reddish pink last time I checked. The black is new. In addition to the chronic inflammation, my liver enzymes have tripled in six weeks, I have become pre-diabetic and have very low vit. B, D and progesterone despite consistently eating an anti-inflammatory diet and low sugar. Surely there's a connection somewhere.
doctor
Answered by Dr. S Patra 3 hours later
Brief Answer:
NEED PROPER INVESTIGATION. VISIT TO DOCTOR.

Detailed Answer:
Hello,

Thanks for uploading images and additional information.

According to information and clinical presentation, it is MOSTLY associated with LICHEN SCLEROSIS, linked with autoimmune disease and bacterial infection. Viral hepatitis, HPV infection, low estrogen etc are the relative causes.

In this case, I suggest you to undergo some investigations like complete STD profile, Skin biopsy of the white area, Serum TSH (or Thyroid profile), complete blood count, blood sugar, Anti-nuclear antibody test, blood estrogen, HPV test, test for Hepatitis B & C etc.

Kindly, consult with your local gynecologist and physician for clinical examination and do the necessary tests as mentioned. It will help to rule out the underlying cause and confirm the diagnosis.

Until then, you should apply antibiotic mixed steroid cream (Clobetasol) on the affected area, take healthy diet with Vitamin and Iron supplements, drink more water, take adequate rest and maintain genital hygiene properly.

Hope, it helps for your information. Kindly, close the discussion if you don't have any other query.

Wish your good health and take care yourself.

Regards,
Dr S Patra

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication
Medical Procedures
Lab Tests
Medical Topics ,   ,  

Recent questions on  Labia minora

doctor1 MD

i currently experience an itching burning sensation on the inner side of my inner labia when i wipe after urinating or during bathing....i also noticed that the the area appears more red than usual. there are no unsual discharges or odours but the burning sensation tends to linger after wiping the area......this has been happening for a week to two weeks now......i have changed a course of treatment for my anaemia lately its a liquid form supplement called iron and folic acid from carlisle laboratory ltd....i'm not certain if this could have contributed to my condition....could this be vaginal candida or a UTI???

doctor1 MD

hi I'm almost 38 weeks pregnant and just noticed how extremely my inner-vaginal area is. Possibly the labia minora..not sure. Way inside of my vagina it is blue looking, hard swollen and extremely uncomfortable. Feels like pressure is right down on that spot. Ouch. I feel I should mention I just had bad constipation a half hour ago in case that could be related to this. Help explain what this pressure and swollen feeling is! thank you

doctor1 MD

I had sex 5 days ago and during I noticed I was pretty dry and it was painful at times. After I was very sore and swollen. Three days after sex I noticed a sore on the area where I was swollen ( labia minora ) as well as the opening of the vagina....

doctor1 MD

I was diagnosed with genital herpes 5 yes ago. I was having a ob 4 days into my cousin sat next to me touching my thigh with her lower leg which I thought was covered up but it was exposed a little.. she made had come in contact with the area on...

doctor1 MD

I have a small bump in my right labia minora and the area above it is swollen and dark, appears to be filled with blood. I have no STI's or STD's as I recently had a full panel done. And also had a normal Pap smear with no sexual activity since...

doctor1 MD

Hi, After not having sex with my boyfriend for quite awhile we had sex, which was a bit forceful/not nearly lubricated enough. I didn t hurt too much right after, but the next day my inner labia minora were very sore. I took a mirror to myself and noticed definite inflammation and redness, also around the vestibule/vaginal openning. It has remained and gotten worse over the past two days. I m not sure if the sex and irritation are even correlated. Just wondering if this is something that can happen from something like this or if this could be a medical condition I need to look into? I m not covered and can t afford a prescription until my next pay day.

doctor1 MD

on the inside of my vagina , on what looks to be the labia minora , i have two dark blackish spots. one on each side. i am 14 and have never had any kind of sex. i do masturbate but not frequently. they have been there for a while but have never hurt or cause me any sort of distress. they haven t grown, but they weren t there 3 months ago. i am really scared because of some of the stories i have read online so please help