Mole change in pregnancy

Hi all I'm looking for some advice. I'm currently 21 weeks pregnant with my second child and have suffered from health anxiety since the birth of my son 20 months ago. Part of my anxiety is being obsessive about my moles - I regularly check them, take photos and ask my husband to look at any I cant see. I have a mole on the side of my face next to my ear that has been there for as long as I can remember. I decided out of the blue to take another picture last week and the mole has changed colour. It has always been very raised and a light pink/brown colour, very consistent. Now I would say that approx half of it towards my ear is now a patchy brown colour, not black (it's an area I cant see). I compared pictures taken only 3-4 weeks ago and there is definitely a significant colour change. It has not changed in texture that I can tell and is not sore or bleeding. I immediately made a GP appointment several days ago and she looked using a torch type tool and her opinion was that she doesn't think it looks suspicious and that the change in colour is likely due to pregnancy. Can this happen?? She was aware of my anxiety and said that she wants me to enjoy my pregnancy etc and because of the definite colour change she has referred me - my app in the hospital is in 5 days time. Has this happened to anyone else? What are the chances that it is due to pregnancy and not cancer? I'm now not coping well and my mind is going into overdrive X

  • Hi Emc, I also suffer from health anxiety so I can understand how debilitating it can be.

    In regards to mole changes during pregnancy, the higher levels of oestrogen and progesterone in your body stimulates the melanin cells in your skin to make more pigment. So this is a strong possibility of what's happened to your mole.

    Its good you've been to the doctors to get it checked out as you've noticed a change and I can't guarantee it's due to your pregnancy but try not to worry and you will know for sure in 5 days, which is why it's good you've booked because I don't know about you but if I don't go to check any worries checked I end up making myself a state and thinking the worst. Keep us updated x

  • Hi jmne245 thank you for your quick reply. Yes any definite worries and I immediately go to the GP. I have never suffered with anxiety before but it started creeping in during my first pregnancy. After a traumatic birth the anxiety got a lot worse and I sought help from counselling. This time the fact that I have photographic proof that there has been a change is making it worse as I can't tell myself I'm overreacting to something. My husband is always honest and supportive and he said it definitely looks different. On one hand I know the doctor said she thought it was pregnancy related and to her it didnt look suspicious but I also think she wouldn't have referred me for no reason and what if she's wrong? The wait is killing me and in my frame of mind if the specialist says that it's likely to be pregnancy and to 'keep an eye on it' or wait until I've had the baby I'll probably break down hysterically asking them to remove it. I couldn't cope with months on end keeping checking it. Do they usually remove them to be 100% sure? Thanks

  • Hi Emc, I think based on what you've said, the GP doesn't think your mole currently looks suspicious, however, because you've shown her images where it has changed colour she will have referred you as precaution, And also for peace of mind for you. Tell the specialist your worries they will reassure you. I think for the pregnancy thing it's the the same thing to when areolas get darker in colour during pregnancy? If that makes sense. 
    I think they only do a biopsy/ remove if they think it may be (based on looking with a maginifying glass thing) melanoma etc. They would not risk it and leave it if they have any indication it may be that. You've done the best thing and you're seeing a specialist you will get through the next 5 days they will be tough waiting and not knowing but you will get through it. 
    x

  • Hi,

    I've been a melanoma patient for many years & several family members have had dodgy moles removed so I have some knowledge of what you are going through. 

    As jmne has already explained, existing moles can change during pregnancy due to hormones - it's actually a quite common thing for dermatologists to see. My niece has had 2 pregnancies and they've monitored a dodgy looking mole each time but they were fine. Also, the fact that your mole has only changed in one respect (colour) means there is a very good chance it's fine. Most dodgy moles are those that have changed in more than one way (shape, size, colour, bleeding or itchy).

    NICE guidance tells GPs that they must refer to dermatology those whose moles have changed in more than one way or refer those who they aren't sure about & they want an expert to decide. I think your GP is in the second camp - they think it's fine but they want an expert to make the final decision so that they can put your mind at rest. They will examine the mole with a dermascope (the handheld microscope which shows if there is any unusual cell activity in the mole). If they are happy there is nothing of concern they will say it's fine. If they are unsure, they will make an appointment for it to be removed for biopsy - they don't remove & biopsy every mole they see, the dermascope is a great piece of diagnostic kit for this. The chances of them saying yours is fine are very high.

    75% of patients referred to dermatology are told their mole is benign so your odds are very good that yours is caused by hormone changes. Try not to overthink it - thankfully your appointment is next week so you don't have too long to wait. Good luck and please let us know how you get on.

    Angie 

  • Hi All, I went to the hospital this morning to see the specialist. He took one look at it (I'm not exaggerating prob 1-2 seconds), he didnt even use a dermascope, and said it's benign and nothing to be concerned about. I questioned the colour change etc and he said could be down to the pregnancy. I said 'so there's nothing at all about it that would warrant a biopsy' and he said no and again its benign. He said to biopsy it they would have to removal it all and I'd be left with a scar on my face. His manner was v straight to the point, no nonsense. There wasnt even a hint of him being unsure. I'm relieved but I cant say I'm 100% happy - in my anxious mind the only way to know for definite is to remove it. Any suggestions/comments? How would I proceed with getting it removed if I wanted to, private? Thanks

  • Hi,

    Although many dermatologists use a dermascope there are some that have years of experience and can tell, just by sight, if something is definately benign. If they weren't 100% sure they would remove it to be on the safe side but he sounds very sure. Because it's on your face he wouldn't offer to remove it for your peace of mind because, no matter how good they are, it would leave a scar & he probably doesn't think it warrants causing you a facial disfigurement. You are entitled to a second opinion if you don't feel 100% happy - probably a private consultation with a different dermatologist may be the best route.

    Good luck, whatever you decide,

    Angie (melanoma patient)