When evaluating moles, especially in sensitive areas like the foreskin of the penis, it's important to consider several factors to determine if they appear normal or if further evaluation is needed. Here are some general guidelines: Characteristics of Normal Moles: Symmetry: Normal moles are usually symmetrical. If you draw a line through the middle, both halves should look similar. Borders: They typically have smooth, even borders. Color: A consistent color throughout, usually brown, tan, or black. Diameter: Generally smaller than 6mm (about the size of a pencil eraser). Evolution: They remain consistent over time without significant changes in size, shape, or color. When to Consider Further Evaluation: Asymmetry: One half of the mole does not match the other. Irregular Borders: Edges are ragged, notched, or blurred. Color Variation: Multiple colors or uneven distribution of color. Large Diameter: Larger than 6mm or growing in size. Changes Over Time: Any change in size, shape, color, or symptoms such as itching or bleeding. Removal Considerations: Cosmetic Reasons: Moles can be removed if they cause discomfort or for cosmetic reasons. Medical Concerns: If there are any atypical features or changes, removal and biopsy may be recommended to rule out malignancy. Given your concerns and anxiety, it would be beneficial to have these moles evaluated by a dermatologist. They can provide a thorough examination and determine if removal is necessary or if monitoring is sufficient.