Depigmentation of the Perineum-Vulval Region

The persons having darker face skin the vulvar and/or perineum region shows sometimes an pronounced unaesthetic pigmentation. Usually this tegument is covered by hair and its broadness is extremely inconvenient.

This hyperpigmentation could have pathological implications - Acanthosis nigricans – which sometimes could accompany a serious disease, reason for which detailed investigations must be performed to identify and treat the cause. However unaesthetic hyperpigmentation located in this region is often the tegument expression of obesity and given by hyper keratosis (corny layer thickening, the most superficial skin layer). It also occurs with other metabolic disturbances and it is benign.

Hyperpigmentation of the vulval-perineum region might occur with pregnant women due to pregnancy because of hormones appearing in this period. Usually the same hyperpigmentation occurs at the face level (pregnant chloasma), of the umbilicus, of the inferior abdomen (linea nigra), of the nipple areola complex. After birth these pigmentations disappear gradually.

With persons prone to hyperpigmentation, the areas intensively aggressed through subsequent waxing could get more “blacken”, and this is way it is important to find for these areas a less aggressive depilation practice and to follow a treatment of permanent depilation.

In case of constitutional hyperpigmentation the solution is given by local depigmentation treatment which consists of applying depigmentation creams containing hidroquinona, for not less than 6 months. A faster option is the chemical peeling. Other treatment options are those using laser therapy or IPL therapy.
Although the treatment is very efficient, 1% of the patients do not obtain the results they want!