
Bruise Like Coloring Has Appeared On Vulva. Applied Oestrogen Cream. Reason Of This Coloring?

Have you got any suggestions as to what the bruise like blotches are? There is no pain or itchiness
My first inclination is to say that the only thing that seems to have changed, based on what you are saying, is that she started applying estrogen cream to the inside and outside of the vagina and vulvar area. This certainly could represent some kind of contact dermatitis related to this medication. So until this is sorted out, it seems as though she could consider stopping this medication.
As far as other causes of "dark lesions" affected the vulvar and buttock areas, this is actually a difficult answer without actually seeing her exam. They are stating that this is NOT bruising. Other possibilities that you could consider "googling" might include:
1. Acanthosis nigricans
2. Post-inflammatory hyperpigmentation (related to infection or drug reaction)
3. Hailey-Hailey disease
The list is actually quite long, but consider it will likely get figured out at some point soon. Please let me know if you have additional questions. I hope that I have helped some!

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