Post # 1
I had a regular check up with my dermatologist Saturday and he saw a mole he would like to remove. I’m 27 going on 28 weeks pregnant and he said that he will have it removed in September after the baby is born. He told me not to worry and sent me on my way. I had an appointment with my OB yesterday where I casually mentioned the mole removal and she acted very strongly stating that there is no affect on the baby to have it removed now and there is no reason to wait especially if the doctor is concerned enough to remove it. This was my first time seeing this particular OB and she scared me quite frankly with how insistant she was.
The dematologist uses a medication called “Lidacaine with epinephine” to numb the area. I don’t know much about these two medicines together.
I’m not sure what to do. I’m terrified because my grandfather and my mother have both had skin cancer. My mother has moles removed every six months and they frequently come back as abnormal and dangerous. I’m also scared that my doctors don’t seem to agree the best treatment. And of course I’m scared to do what’s best for the baby and not to do anything that would ever hurt her.
I made an appointment at the end of the month with another dermatologist for a second opinion but wanted to ask here if anyone else had experience with this. Of course my pregnancy hormones are making me freak out and totally not helping… 🙁
Post # 3
I have had my dermatologist remove moles while pregnant, there is nothing wrong with it.
Post # 4
When I’ve had moles removed they just numb the skin and cut it off, it’s not a big deal! 🙂
Post # 5
Yeah from what I have read online it seems like it isn’t risky with the lidacaine although I have read that the other one, the epi, is a class C drug so maybe that’s why he’s hesitating?
Post # 6
- Wedding: June 2014 - Cedar Lake Cellars
The epinephrine is basically adrenaline. It constricts your blood vessels in the area to lessen blood loss and localize the effect of the medication. It should have a very local effect when given this way and is nothing like the shot of epipnephrine they give in a vein for more serious problems. I don’t forsee this being a problem at all.
If it bothers you, they could always use straight lidocaine. It would likely make more of your skin numb and would bleed a little bit more…. but not risky blood loss more.
Perhaps he’s jus being cautious because he doesn’t want to stress you or the baby at all? It seems over cautious to me.
Post # 7
I had a mole removed at 15 weeks that turned out to be melanoma (no family history, just “lucky”) and then had surgery at 16 weeks. All of the doctors involved – dermatologist, OB and oncologist – were 100% comfortable with the process. The only thing I can say is that they only used lidocaine, not epinephrine, at my OB’s request. The oncologist mentioned something about a higher bleeding risk, but I didn’t have any problems at all.
I wouldn’t worry about getting it removed. It’s probably the last thing you’ll want to do when you have a newborn at home!
PS- I’m almost 26 weeks now and baby boy is healthy!
Post # 8
- Wedding: July 2012 - The Gables Inn, Santa Rosa, CA
I would talk to the dermatologist again and ask more questions– or get a second (or 3rd) opinion about both.
More than likely, the Dr. is only removing it as a precautionary mesure, so there’s no reason to put your body under any more stress than it already is with the pregnancy– why not wait until that factor has been removed from the equation.
As for the OB– More than likely there is no risk, but just because there isn’t a specific risk to the baby doesn’t mean there aren’t reasons not to do it at this point. I don’t want to scare you with what-if’s but one example is infection. With mole removals, there is a small chance of infection while healing (as with any opening in the skin) there are of course thing you can do to minimize the risk, but if you’re pregnant, why even open your self up to the possibility?
Honestly, I wouldn’t read too much into it, but if you’re worried– get another opinion.
Post # 9
Hmm…I would def have it removed given your history. There’s NO history of melanoma in my family and I had a mole removed that looked “kind of suspicious”. The lab reported back that the cell division was so rapid that if I had waited even a month it would have been full blown melanoma. I don’t mean to scare you but pregnancy hormones are also known to accelerate that kind of cell division.
Personally I’ll be continuing all my 6-month dermatologist visits the whole pregnancy and will want any removals done. I say the OB knows what’s best for baby so why wait!
Post # 10
@Littlebean912: We use Lidocaine with Epi all the time on pregnant women. It may make you feel, like… Someone just cut you off on the freeway and you get that flutter, but it’s short lived. It’s just because epi decreases bleeding. If I were you, I’d get it removed.
Post # 11
Mole removal only requires numbing the area locally. They don’t have to do anything systemic so I don’t see why it would have any affect on the pregnancy.
Post # 12
I had one I’ve hated forever taken off during pregnancy. It wasn’t dangerous it just always made me self conscious. It had no effect on anything whatsoever.