Below is an email exchange I had with a a woman who is interestedin genital piercing, but has a mole in the area:
I went to other day to get waxed and was informed that I have a mole on the inside of my outer labia at the apex. She also said it could be broken blood vessels (since I have not been using lubricant). Personally, I think it looks like a mole. But the lady says she has never seen that anything like that on anyone she has done. She suggested I go to a dermatologist. Is that unusual with your experience? Would it be something I should have removed?
If she thinks you should see a dermatologist, then you probably should. Since I haven't seen what she saw, I can't give you my own opinion. But I imagine (like myself) she's seen enough bodies to know when something doesn't look right. If you can get a good photo of that area, I'd be happy to take a look, too.