Discovering small, pale bumps on the scrotum can understandably cause concern. In most cases, these are Fordyce spots — a normal, harmless skin variation rather than an infection or disease.
At Clarewell Clinics, we regularly see patients seeking reassurance about these findings. This guide explains what they are, why they appear, and when to seek professional advice.
What are Fordyce Spots?
Fordyce spots are enlarged sebaceous (oil) glands that appear as tiny, pale yellow or whitish bumps on the skin. They can occur:
- On the scrotum or penis in men
- On the labia in women
- On the lips (often called Fordyce granules)
These spots are not infectious, painful, or dangerous. They are simply more visible in some people, depending on skin type and gland activity.
Why do Fordyce Spots on the Scrotum Appear?
Fordyce spots are present from birth but become more visible after puberty, when hormones enlarge sebaceous glands.
They are not caused by poor hygiene, sexual activity, or infection. Some individuals are naturally more prone to them than others.
Are Fordyce Spots on the Scrotum Contagious?
Absolutely not. Fordyce spots on the scrotum are not contagious and cannot be spread through sexual contact or any other means.
How are Fordyce Spots on the Scrotum Diagnosed?
Diagnosis is typically made through a visual examination.
At Clarewell Clinics, our specialists will:
- Examine the area carefully
- Rule out other possible causes
- Offer reassurance or discuss treatment options if desired
Further tests are rarely necessary unless the diagnosis is uncertain.
What other conditions could they be confused with?
It’s important to distinguish Fordyce spots from other conditions such as:
If you’re unsure about any new or changing bumps, seek professional assessment for peace of mind.
Do Fordyce Spots on the Scrotum Require Treatment?
In almost all cases, treatment is not necessary. Fordyce spots are harmless and don’t cause pain or medical problems. Treatment is only considered for cosmetic reasons if their appearance causes distress.
Treatment Options (if desired)
If you wish to reduce their appearance, several options can be discussed. These are elective, cosmetic procedures and should be considered carefully:
- Hyfrecation – Uses a controlled electric current to remove superficial tissue under local anaesthetic. This is a safe and effective option offered at Clarewell Clinics.
- Laser Therapy – Certain lasers can help reduce visibility.
- Topical Creams – Occasionally used but results are variable.
Important Considerations Before Treatment
Before considering any treatment for Fordyce spots on the scrotum, it is crucial to understand that:
- Treatment is not medically necessary.
- The goal is primarily cosmetic.
- Treatment may not completely eliminate the spots.
- There are potential risks and side effects associated with each treatment option.
At-Home Care
While Fordyce spots cannot be removed at home, maintaining good skin health can help:
- Clean gently with mild, fragrance-free soap and warm water.
- Avoid picking or squeezing the spots to prevent irritation or infection.
- Wear breathable underwear to reduce friction and moisture buildup.
When to Seek Professional Advice
Book a consultation if:
- You’re unsure of the diagnosis
- The spots are itchy, painful, or changing
- You’re feeling anxious or self-conscious about their appearance
You can begin by completing our Pre-Appointment Questionnaire.
Our team provides confidential, specialist assessment and tailored advice.
Our Approach at the Clinic
We understand that genital skin concerns can cause significant anxiety. Our Genital Dermatology (Lumps & Bumps) service provides:
- Thorough examination and clear diagnosis
- Personalised treatment plans if desired
- Reassurance and ongoing support
If you’d like to learn more about benign genital skin conditions, please visit our Genital Dermatology (Lumps & Bumps) service page.
