Overview

Genital pigmentation can be normal variation or may result from inflammation, friction, hormones or other conditions. New or changing pigmentation deserves review.

Possible causes or associations

  • Normal variation
  • Post-inflammatory change
  • Other dermatoses

Assessment and management considerations

  • Clinical assessment
  • Biopsy if needed
  • Treat underlying cause

Normal variation note

Many pigment changes are benign, but new or changing lesions should be checked.

Key points

  • May be normal variation
  • Can change with inflammation
  • New changes need review
  • Not always concerning

When to seek care

  • New or changing pigmentation
  • Pigmentation with symptoms
  • Cosmetic concern