Skin tags are common, small, benign growths, often soft and flesh-colored or brownish. They are typically harmless unless irritated. Many pregnant individuals notice an increase in skin tags, prompting questions about their management. This article provides guidance on safely addressing skin tags during pregnancy.
Why Skin Tags Appear During Pregnancy
The development of skin tags during pregnancy is primarily linked to hormonal fluctuations. Elevated levels of hormones like estrogen and progesterone stimulate the growth of skin cells that form these benign lesions. These hormonal shifts create an environment conducive to increased skin cell proliferation.
Mechanical factors also contribute. Weight gain, a natural part of pregnancy, can lead to increased skin folds and friction in areas like the neck, armpits, groin, and under the breasts. Constant rubbing of skin against skin or clothing can irritate the skin and promote these growths. Their increased presence during pregnancy is a common and expected physiological change.
Safe Management During Pregnancy
Many skin tags that emerge during pregnancy are asymptomatic and do not require any intervention. Individuals can often choose to leave them undisturbed, especially if they are not causing discomfort or irritation. Close observation is a reasonable approach for skin tags that are not bothersome.
For skin tags that cause discomfort, bleed, or are a cosmetic concern, professional removal by a healthcare provider is the safest option during pregnancy. Dermatologists or obstetrician-gynecologists can perform procedures like cryotherapy (freezing), surgical excision (cutting), or electrocautery (burning). These procedures are performed with local anesthesia, which is safe during pregnancy when administered by a qualified medical professional.
In addition to professional interventions, maintaining good skin hygiene can help prevent irritation of existing skin tags. Keeping affected areas clean and dry reduces the risk of chafing and potential infection. Wearing loose-fitting clothing can also minimize friction against skin tags, particularly in areas prone to rubbing.
Methods to Avoid During Pregnancy
Certain home removal methods and over-the-counter products are not recommended for skin tags during pregnancy due to potential risks. Attempting to tie off a skin tag with thread or dental floss can lead to incomplete removal, pain, infection, and scarring. This method carries a significant risk of complications without proper medical supervision.
Cutting or clipping skin tags with household tools, such as nail clippers or scissors, poses a high risk of bleeding, infection, and permanent scarring. Such methods are not sterile and can introduce bacteria into the wound. Over-the-counter creams, patches, or solutions marketed for skin tag removal often contain harsh chemicals that can cause skin irritation, burns, or allergic reactions. The absorption of these chemicals into the bloodstream also presents an unknown risk to the developing fetus.
Some individuals consider natural remedies like apple cider vinegar or tea tree oil for skin tag removal. However, the safety and efficacy of these substances for this purpose during pregnancy are not established. These acidic or potent essential oils can cause severe skin irritation, chemical burns, or allergic dermatitis, and their systemic absorption during pregnancy is not fully understood.
When to Consult a Healthcare Provider
It is advisable to consult a healthcare provider if a skin tag exhibits any changes in its appearance. This includes changes in color, size, or shape, which could indicate a need for further evaluation. Any skin tag that starts to bleed, becomes painful, itchy, or inflamed also warrants immediate medical attention.
Seeking professional advice is important if there is any uncertainty about whether a growth is a skin tag or another type of skin lesion. A healthcare provider can accurately diagnose the growth and rule out more serious conditions. If a skin tag causes significant discomfort or irritation due to its location, or if an individual desires its removal for cosmetic reasons, consult a dermatologist or obstetrician to discuss safe options.
Post-Pregnancy Considerations
Many skin tags that develop during pregnancy may naturally regress or disappear after childbirth. This spontaneous resolution often occurs as maternal hormone levels return to their pre-pregnancy state. The reduction in estrogen and progesterone post-delivery can lead to the shrinking or detachment of these benign growths.
For any skin tags that persist after pregnancy and continue to be bothersome, professional removal options remain available. Procedures such as cryotherapy, surgical excision, or electrocautery can be performed safely once postpartum recovery is complete. These methods offer effective solutions for individuals who wish to have the skin tags removed permanently.