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It is hard to say what could be causing these spots without an exam.
So. What should you do?
In order to figure out exactly what is causing these black spots the best course of action would be to see your OB/GYN for a complete exam including a pelvic. If necessary one of these lesions can be biopsied and tissue sent to the pathologist for evaluation.
Does this make sense to you?
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Dr. Rick MD FACS