Anytime you notice small, raised bumps on your or your partner’s lips, genitals, or other areas of bare skin, it’s normal to be concerned. Skin bumps are often associated with infectious problems, from rashes to genital warts. However, bubbles do not always mean exposure to an infection. In some cases, they can be an incredibly common, benign and harmless condition known as Fordyce spots. Still, it’s important to distinguish these spots from other possible conditions, including sexually transmitted diseases (STDs).
In this blog we discuss what Fordyce spots are, why they occur, how to identify them and common misconceptions.
What are Fordyce spots?
Fordyce spots, or Fordyce granules, are small, raised, pale or white bumps on bare skin, usually on the lips, genitals, or in the mouth. In reality, these spots are enlarged sebaceous glands (oil glands). These spots are not associated with hair follicles, so they usually appear in areas without hair.
Fordyce spots are common in men and women and affect a significant portion of the population. Studies have even shown that these spots are present in 70 to 80 percent of adults. Although these spots are harmless and non-contagious, Fordyce spots can easily be mistaken for other conditions, causing unnecessary concern.
Cause of Fordyce spots
Humans have sebaceous glands in the skin that secrete sebum, a protective layer that helps the skin retain moisture. Normal sebaceous glands are usually not visible to the naked eye, but some conditions do make them visible, such as Fordyce spots.
Genetics plays an important role in the development of Fordyce spots, with some researchers suggesting that they are present at birth and become more visible during adolescence and puberty as hormones change. Fordyce spots are not linked to infections, diseases, or sexually transmitted infections such as human papillomavirus (HPV) or herpes. They are simply an anatomical variation that is completely normal.
Symptoms of Fordyce Spots and How to Identify Them
Fordyce spots appear as small, pale, yellowish or white bumps that are smooth, uniform and painless. These may appear as a single spot or a small group or cluster of spots, which are easier to see if the surrounding skin is stretched. The spots usually do not get bigger or cause discomfort, which can distinguish them from other conditions. However, some people with Fordyce spots have reported spots on the penis becoming itchy or inflamed during sex.
Other skin conditions can be mistaken for Fordyce spots, including:
- Millium cysts: These appear as hard, white, round bumps on the face
- Sebaceous hyperplasia: a condition that results in the formation of small, tender bumps
- Epidermoid cysts: the formation of small, hard lumps under the skin
- Basal cell carcinoma: a type of skin cancer that appears as a bump, red spot, or other growth
If you are unsure or notice changes in existing areas, seeing a healthcare provider for a proper diagnosis can provide reassurance.
Identifying Fordyce Spots vs. Genital Warts (HPV)
Because of their appearance, Fordyce spots are often confused with genital warts caused by HPV. Here’s how you can tell them apart:
- Agreements: Both can appear as small, raised bumps on the genital area.
- Differences: Genital warts usually have a rough, cauliflower-like texture and often grow in clusters. They may cause discomfort or itching, while Fordyce spots are smooth, uniform and painless without any discomfort.
Identifying Fordyce Spots vs. Herpes
Fordyce spots are sometimes confused with herpes lesions, especially if they appear around the mouth or genital area. However, it is essential to know how to identify them all correctly:
- Agreements: Both conditions can manifest around the mouth or genital area.
- DifferencesHerpes usually appears as painful blisters or sores that eventually burst and crust, accompanied by other symptoms including itching, burning, and flu-like symptoms. Fordyce spots do not blister or cause pain and retain the appearance of small bumps without developing into open sores.
Identifying Fordyce Spots vs. Syphilis (Chancre Sores)
In the early stages of syphilis, pharyngeal ulcers may appear as small, painless bumps that may be confused with Fordyce spots.
- Agreements: Both can present as small, painless bumps.
- Differences: Syphilis chancres are typically solitary, firm sores that eventually ulcerate, and syphilis has systemic symptoms such as fever or swollen lymph nodes. Fordyce spots appear in clusters, remain painless, and do not cause additional physical symptoms.
Can Fordyce spots be treated or removed?
Because Fordyce spots are harmless, most people do not seek treatment. In some cases, these spots will disappear over time. However, there are different treatment options individuals can use to minimize the appearance of these spots if they choose to do so for cosmetic reasons, including:
- Cryotherapy: Extreme cold is used to freeze and destroy the tissue
- Electrodesiccation: A special electric needle is used to burn away the skin
- Laser skin resurfacing: Uses short-pulsed light energy or continuous light beams to remove thin layers of skin while causing minimal damage to surrounding areas
- Micro punch surgery: A pen-like instrument is used to “punch” the skin and remove specific tissue
- Topical treatments: Creams, including retinoids, can be used to help reduce or eliminate Fordyce spots
Home Remedies for Fordyce Spots: Are They Effective?
There are some home remedies which individuals can try using to reduce or remove Fordyce spots. However, there is limited evidence supporting the effectiveness of these natural treatments. Some possible home treatments include:
- Apple cider vinegar: Apple cider vinegar has natural astringent properties that promote the shrinking of pores and drying of oil. A tablespoon of vinegar should be diluted with 1/4 cup of water and applied two to three times a week. Results may be visible after four to six weeks of treatment.
- Argan oil and Jojoba oil: Both oils contain vitamin E, including antioxidants that support increased blood circulation and skin firmness. Applying this oil to the spots twice a day can help reduce their appearance after about four weeks.
- Coconut oil: Coconut oil can help hydrate your skin and reduce natural oil production, making Fordyce spots more noticeable.
If you are interested in at-home treatment for Fordyce granules, talk to your doctor to avoid possible side effects.
Common Myths and Misconceptions About Fordyce Spots
Myth: Fordyce spots are caused by poor hygiene
It is a common misconception that Fordyce spots are related to poor hygiene. Many people believe that better personal care routines can prevent or eliminate Fordyce spots, but this is not true. Fordyce spots occur naturally and are not affected by cleanliness or hygiene habits. Fordyce spots are purely a result of anatomy and physiology. While maintaining good hygiene is always beneficial, it will not affect the presence or visibility of these areas.
Myth: Fordyce spots are a type of sexually transmitted disease (STD)
Fordyce spots are often mistaken for STDs due to their appearance, especially if they occur in the genital area. However, Fordyce spots are not contagious or contagious and are not related to sexually transmitted diseases. They are simply benign skin lesions that many people have, appearing as small, pale bumps that are not transmitted through sexual or physical contact.
Myth: Fordyce spots are a sign of HPV or herpes
Due to the appearance of Fordyce spots on the lips or genital area, people often fear that they are related to HPV or herpes. Both HPV and herpes are viral infections that manifest with visible symptoms on the skin and often cause raised or blister-like lesions. However, Fordyce spots are smooth, uniform, painless, and do not blister or crust. Although these spots are not caused by a virus or infection, it is ideal to have them confirmed by a healthcare provider to rule out an infectious condition with a similar appearance.
Myth: Only men get Fordyce spots
Although Fordyce spots are often noticed on male genitalia, both men and women can have them. They are often less noticeable on the female genitals, but they can occur in both sexes on the labia and other areas such as the lips and in the mouth. Fordyce spots are simply more prominent on male genitalia due to differences in skin visibility. The reality is that Fordyce spots are common in adults of all genders and are part of the body’s natural variation in skin anatomy.
Myth: Fordyce spots need to be treated or removed
Because Fordyce spots are harmless, treatment is not necessary. Many people worry about the appearance of Fordyce spots, especially if they are visible in intimate areas. However, treatment options are purely cosmetic and are only chosen if a person feels self-conscious about it. There is no medical need to treat Fordyce spots as they pose no health risk and do not lead to further complications.
Not sure if you are dealing with Fordyce Spots or an STD? Get tested today with Prior STD
If you’re unsure whether you have Fordyce spots or another possible condition, a test can give you clarity. These spots are harmless, but it is crucial to be sure that this is the condition you are dealing with to prevent the possible spread of an STD to partners.
By prioritizing your health and understanding the nature of Fordyce spots, you can gain peace of mind and ensure that you are taking steps toward your overall well-being. Consult a healthcare provider for proper diagnosis, or consider getting tested for STDs through Priority STD Testing to ensure your sexual health.