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What causes itchy growth with a black spot in the vagina?

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Patient's Query

Hello doctor,

I have noticed a growth with a black spot in my private area (vagina). It is very itchy. What could it be, what are the possible causes, and is there any medication for it? Please help.

Thank you.

Answered by Dr. Georges Hany Kozah

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

Possible causes of a black, itchy, and growing spot in the genital area:

It is possible that you have a wart, mole, fungal infection, or another skin condition affecting your genital area. Since the spot is black, itchy, and increasing in size, identifying the cause is essential.

Potential causes:

1. Genital warts (HPV (Human Papillomavirus) Infection):

  1. Small, raised, or cauliflower-like bumps.

  2. It can be skin-colored, dark, or black.

  3. May cause itching but are usually painless.

  4. Caused by the Human Papillomavirus (HPV), a common sexually transmitted infection (STI).

2. Moles or skin tags:

  1. Harmless skin growths that may appear dark.
  2. It can become itchy if irritated.

3. Fungal infection (tinea or candidiasis):

  1. Dark, itchy patches on the skin.
  2. Caused by moisture, sweating, or poor hygiene.
  3. It can spread or worsen over time.

4. Ingrown hair or cyst:

  1. Small, painful bump, sometimes with a blackhead-like appearance.
  2. May become infected and itchy.

5. Melanosis or hyperpigmentation:

Dark spots on the genital area due to hormonal changes, friction, or aging

6. Serious conditions (less common but important to check)

  1. Melanoma (skin cancer): A dark, irregular mole that changes over time.

  2. Syphilis (secondary stage): Can cause dark sores that heal on their own but indicate an STI.

What to do next?

1. Consult a doctor (gynecologist or dermatologist):

  1. A physical examination or biopsy may be needed to confirm the diagnosis.
  2. If it is genital warts, antiviral treatment may be required.
  3. If it is fungal, an antifungal cream such as Clotrimazole may be prescribed.

2. Avoid scratching and maintain hygiene:

  1. Wash the area with mild soap and water.
  2. Wear cotton underwear to reduce moisture buildup.

3. Consider over-the-counter medications for temporary relief:

  1. Antifungal creams (Clotrimazole, Miconazole) if a fungal infection is suspected.
  2. Hydrocortisone cream for itching (only if no infection is present).

When to seek urgent medical attention?

  1. Rapid growth or changes in the shape of the spot.

  2. Pain, bleeding, or a spreading rash.

  3. Accompanied by fever or swollen lymph nodes.

Since the cause is unclear, seeking medical advice as soon as possible is recommended to determine whether it is an STI, a fungal infection, or something more serious.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.

Medically reviewed by iCliniq medical review team
Published At April 10, 2025
Reviewed At June 9, 2026

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

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