“This can be during puberty, pregnancy, or aging in general,” adds Cross. “The genital area gradually becomes darker in response to hormonal changes over time,” explains Tamika Cross, MD, a board certified OB-GYN based in Houston, Texas, and co-owner of Serenity Women’s Health & MedSpa. In your genital area, those melanocytes are particularly sensitive to hormones. Your skin has certain cells, called melanocytes, which form melanin. The darkening usually stems from one of these factors Hormones