Finding unexpected bumps or changes in the genital area can understandably cause worry or self-consciousness. If you have noticed small, painless, pale or yellowish spots on the vulva, these may be Fordyce spots.
It is important to reassure you from the outset that Fordyce spots are entirely natural. They are not an infection, not related to poor hygiene, and not sexually transmitted.
Although harmless, we recognise that their appearance can affect confidence or cause ongoing concern. Below, we explain what Fordyce spots are, where they commonly appear, and the treatment options available within our specialist clinic for those who wish to explore them.
What are Fordyce spots?
Fordyce spots are enlarged sebaceous (oil) glands that are visible on the skin surface. While sebaceous glands are usually associated with hair follicles, Fordyce spots are described as ectopic, meaning they appear in areas without hair.
They are a normal anatomical variation and are present in a large proportion of adults, although they may be more noticeable in some individuals than others.
Where do they appear on the vulva?
The vulva consists of several different skin and tissue types, and Fordyce spots may appear on any of the following areas:
- Labia majora – the outer folds of skin, where spots often appear as small, scattered pale or yellowish bumps
- Labia minora – the inner folds, where the more delicate skin can make the spots appear more numerous or give a slightly granular texture
- Clitoral hood – it is entirely normal for Fordyce spots to be present here
- Vestibule – the area around the vaginal opening, where spots may appear more pink or blend into the surrounding mucosal tissue
Variations in appearance
Fordyce spots do not always look the same. Their appearance can vary depending on location and individual skin type. They are typically:
- White, pale yellow, or skin-toned pink
- Around 1–3 mm in size
- More visible when the skin is stretched, for example during washing or self-examination
They may appear singly or in small clusters. Because of this variation, it is very common for people to feel unsure about what they are seeing.
It is also important to note that the vulva has many normal anatomical variants, and conditions such as vestibular papillomatosis or other benign skin changes can sometimes look similar. For this reason, a face-to-face clinical examination is essential to confirm the diagnosis before any treatment is considered.
Considering treatment for Fordyce spots
Fordyce spots do not require treatment for medical or health reasons. As they are considered a normal anatomical variation, treatment is not usually offered within the NHS.
However, some people choose to explore treatment for personal comfort, confidence, or peace of mind. At our clinic, we provide a discreet and supportive environment where you can discuss your concerns and options without pressure.
The Journey to Treatment
- Before Your Appointment:
We usually ask patients to complete a short pre-appointment questionnaire. If you are considering treatment, you may be invited to submit clear photographs through our secure system. This allows our clinical team to assess suitability and provide an initial estimate before you attend the clinic.
Please note that photographs alone cannot replace a physical examination, and a final diagnosis is always made in person.
- The Consultation:
During your appointment, one of our clinicians will examine the area to confirm the diagnosis and exclude other conditions, such as genital warts or molluscum contagiosum, which require different management.
You will have the opportunity to ask questions and discuss whether treatment is appropriate for you.
- The Procedure (Hyfrecation):
Where treatment is chosen, one option we offer is hyfrecation. This technique uses a very fine, heated tip to precisely target individual sebaceous glands while minimising impact on surrounding tissue.
- Comfort:
We prioritise your comfort. Local anaesthesia is used, either as a numbing cream or a small injection, depending on the area being treated.
- Patch test:
Because vulval skin is delicate and individual healing responses vary, we often recommend a patch test. This involves treating a small area first to assess healing and cosmetic outcome before proceeding with more extensive treatment.
- Potential risks:
As with any procedure on vulval skin, there is a small risk of temporary discomfort, pigment change, scarring, or altered sensation. These risks are uncommon, and careful technique and patch testing help reduce them, but they cannot be completely eliminated.
- Aftercare:
Healing is usually straightforward. You will be provided with an aftercare pack and clear written instructions. We typically recommend:
- Gentle hygiene only; avoid perfumed products or excessive washing
- Saline soaks or compresses for a short period if advised
- Avoiding strenuous exercise, sexual activity, or friction to the area for a short time while healing takes place
A follow-up appointment is included within four weeks of the procedure to ensure healing is progressing well and to address any concerns.
Making an Informed Choice
Fordyce spots are a normal part of human anatomy and do not pose a health risk. Choosing whether or not to pursue treatment is a personal decision.
If you are concerned about new or changing genital lumps, or if you would like reassurance about what you are seeing, we strongly encourage you to seek assessment from a qualified healthcare professional or sexual health clinic.
Our specialists are here to provide accurate diagnosis, clear information, and respectful care — allowing you to make an informed decision that feels right for you.
