[30F] With white spots on vaginal lips and white pubic hair

Patient Description

A 30-year-old female has observed two white spots on her vaginal lips, one the size of a large penny and the other the size of a small centimo coin, for over a year. The spots have the same texture as the surrounding skin and are not painful or itchy. The pubic hairs growing on these spots are white. There are no clearly defined borders, and the spots have been increasing in size without multiplying. Additionally, she experiences occasional greenish-yellowish discharge. There is no family history of skin conditions, and she has no known allergies or adverse reactions to medications. She is not on any medications and was diagnosed with rheumatic fever before the appearance of the white spots. No other systemic symptoms have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, a few possibilities could explain the white spots on your vagina:

  • Vitiligo: This is a condition that causes the skin to lose its color in patches. The discolored areas usually get bigger with time. The condition can affect the skin on any part of your body. It can also affect hair. However, you mentioned that you don't have a family history of vitiligo, which makes this less likely.

    • Treatment for vitiligo is aimed at stopping or slowing the progression of color loss and improving your appearance.
  • Lichen sclerosus: This is a rare condition that creates thin patches of white skin. It's usually seen in postmenopausal women, but it can occur in younger women and men too. Lichen sclerosus can affect skin anywhere on your body, but it most often involves skin of the vulva, foreskin of the penis or skin around the anus.

    • There's no cure for lichen sclerosus, but treatment can help relieve itching, improve your skin's appearance and decrease the risk of scarring.
  • Vitiligo or lichen sclerosus could also explain the white pubic hairs, as these conditions can cause hair to lose its pigment.

The greenish-yellowish discharge could be due to a number of conditions, including bacterial vaginosis, a common vaginal infection in women of reproductive age.

What you can do

Given the duration and progression of your symptoms, it would be best to consult a healthcare professional for a formal assessment. They may need to perform a physical examination, and possibly a biopsy, to determine the cause of the white spots.

In the meantime, you can:

  1. Keep the area clean and dry.
  2. Avoid using any new soaps, lotions, or other products in the area, as these can sometimes cause skin changes.
  3. Avoid scratching or picking at the spots, as this can lead to infection or scarring.

What you should look out for

You should seek immediate medical attention if you experience:

  • Severe itching or pain in the area of the white spots
  • Rapid increase in the size or number of the white spots
  • Development of ulcers or blisters on the white spots
  • Any other new or concerning symptoms

Please remember that while I strive to provide accurate and helpful information, I'm not a doctor. You should consult a healthcare professional for a formal diagnosis and treatment.

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9 mo ago


People Also Ask


What are the possible causes of white spots on the vaginal lips?

Possible causes of white spots on the vaginal lips include vitiligo, which causes skin to lose its color in patches, and lichen sclerosus, which creates thin patches of white skin. Both conditions can affect the skin and hair pigment.


Can vitiligo affect pubic hair color?

Yes, vitiligo can affect pubic hair color. It causes loss of pigment in the skin and can also affect hair, leading to white or gray hair in the affected areas.


What might cause greenish-yellowish vaginal discharge?

Greenish-yellowish vaginal discharge could be due to bacterial vaginosis, a common vaginal infection in women of reproductive age. Other infections or imbalances in the vaginal flora could also cause similar symptoms.


How is lichen sclerosus treated?

Lichen sclerosus is treated with topical corticosteroids to relieve itching and improve skin appearance. While there's no cure, treatment can help manage symptoms and reduce the risk of scarring.

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