Skin tags are common, harmless skin growths. They are generally soft, skin-colored, or slightly darker pieces of skin that often form in areas where skin rubs together. This article describes the typical appearance of skin tags, particularly in the groin area, to help individuals identify them.
Identifying Characteristics
Groin skin tags are soft, fleshy growths. Their size can range from a few millimeters to several centimeters. These growths often exhibit an oval or egg shape.
Their color typically matches the surrounding skin but can also appear slightly darker, such as brownish, reddish, orange, or dark grey. Skin tags generally have a soft, pliable, and smooth texture, though some may appear wrinkled or irregular. They attach to the skin by a narrow stalk, known as a peduncle, giving them a hanging appearance.
They frequently occur in skin folds, with common locations in the groin area including the inner thighs, outer labia, scrotum, and perineum. While typically painless and non-itchy, they can become irritated, sore, or bleed from constant rubbing or physical activity.
Distinguishing from Other Conditions
Groin skin tags must be differentiated from other similar skin growths in the genital area. Genital warts, caused by HPV, often have an irregular, cauliflower-like, or bumpy texture. Unlike skin tags with their narrow stalk, warts can be flat or raised, have a wider base, and are usually firmly anchored. Their color ranges from flesh-colored, pink, or brownish to pearly, dark purple, or gray, and they may cause itching or pain, often appearing in clusters.
Moles (nevi) are common skin growths that typically appear as flatter or slightly raised spots. They are usually uniformly colored, ranging from brown to black, and generally do not have a stalk. Moles tend to have a deeper base compared to skin tags.
Ingrown hairs or folliculitis manifest as red, inflamed bumps, often with a visible hair or pus-filled head. These conditions are usually painful and tender to the touch, sometimes appearing in clusters. Herpes lesions typically begin as small, painful blisters that rupture into sores, often appearing in clusters.
Seborrheic keratoses can also resemble skin tags but often have a waxy, scaly, or “pasted-on” appearance. They are frequently darker, such as brown or black, and may have a more defined border and a rough surface. Unlike the soft, hanging nature of skin tags, seborrheic keratoses are generally firmer and do not protrude from a narrow stalk.
When to Seek Medical Advice
While groin skin tags are typically harmless, medical evaluation is appropriate in certain circumstances. Consult a healthcare professional if a growth in the groin area changes in size, shape, or color, especially if it darkens or becomes multicolored. Medical attention is also recommended if the growth becomes painful, itchy, or tender.
Seek medical advice if the growth starts to bleed, ooze, or shows signs of inflammation or infection, such as redness, swelling, or warmth. If the growth causes discomfort or irritation due to its location, or if there is any uncertainty about its identity, a doctor can confirm the diagnosis. A healthcare provider can accurately identify the growth and discuss appropriate options, including removal if desired.