IUD, birth control & endometriosis - can you advise on dark patch/enlarged underarm? (Photo)

Question

I wanted to reach out to see if anyone can advise me. I am on birth control pills and I also have an iUD. I do have endometriosis as well, which is why I am taking the birth control to prevent the pain from coming back. I have developed a dark patch - like an enlarged circle. There is no bump, or growth. It is just discoloration. Can some please tell me what is this?

Anna Chacon, MD, FAAD · Answer

Hello,

Thank you for reaching out with your concern about the dark patch under your arm. While I can provide some general guidance, it is important to consult with a healthcare professional for an accurate diagnosis. Here are some potential causes and considerations:

Acanthosis Nigricans:
This condition is characterized by dark, velvety patches of skin and is often associated with insulin resistance, hormonal changes, or certain medications, including hormonal contraceptives. It is worth discussing with your doctor whether your birth control or IUD might be contributing factors.

Post-Inflammatory Hyperpigmentation:
Sometimes, skin can darken following inflammation or irritation, which could be due to shaving, deodorant use, or friction in the underarm area.

Hormonal Influences:
Hormonal changes related to birth control or endometriosis could potentially affect skin pigmentation. Your healthcare provider might consider adjusting your hormonal regimen if it is contributing to skin changes.

Dermatological Evaluation:
Scheduling an appointment with a dermatologist will allow for a thorough examination. They may perform a skin biopsy or other tests if necessary to rule out other conditions.

Management and Treatment Options:
Depending on the diagnosis, treatments might include topical creams such as hydroquinone, retinoids, or chemical peels to lighten the pigmentation.
Lifestyle modifications, such as weight management and avoiding friction, can also help manage certain conditions like acanthosis nigricans.

Please consider reaching out to a dermatologist for a comprehensive evaluation and personalized advice.

Best Regards,

IUD, birth control & endometriosis - can you advise on dark patch/enlarged underarm? (Photo)

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