Discovering a new lump or bump in your genital area can be worrying. Most are harmless, but it’s understandable to feel anxious.
At Clarewell Clinics, our Genital Dermatology specialists see many patients with these concerns. This guide explains how to recognise Fordyce spots and how they differ from other common genital skin conditions.
What are Fordyce Spots?
Fordyce spots are small, pale, and painless bumps that may appear on the shaft of the penis, scrotum, or labia.
They represent enlarged sebaceous (oil) glands that are usually present in the skin but are more visible in some areas.
- Size: typically 1–3 mm
- Colour: whitish, yellowish, or skin-coloured
- Texture: smooth, non-tender, not inflamed
- Nature: completely harmless and non-infectious
Unlike acne, Fordyce spots are not related to blocked pores or bacteria, and they do not spread through sexual contact.
What Causes Fordyce Spots?
Fordyce spots are a normal anatomical variation, present from birth but often becoming more visible after puberty due to hormonal activity.
They are not caused by poor hygiene, infection, or sexual activity, and they pose no risk to health.
How to Tell Fordyce Spots Apart from Other Conditions
Several other benign or infectious conditions can cause small bumps in the genital area. Below is a quick guide to help differentiate them:
| Condition |
Appearance |
Key Features |
Contagious? |
| Fordyce Spots |
Small, pale/yellow, smooth bumps |
Enlarged oil glands, non-itchy, harmless |
No |
| Pearly Penile Papules (PPP) |
Tiny, dome-shaped, flesh-coloured bumps in rows around the glans |
Normal anatomical variant, only on penis head |
No |
| Genital Warts (HPV) |
Irregular, raised, cauliflower-like growths |
Caused by HPV, may itch or bleed |
Yes |
| Molluscum Contagiosum |
Small, shiny bumps with a central dimple |
Viral infection, may spread via skin contact |
Yes |
| Sebaceous or Scrotal Cysts |
Firm, deeper lumps under skin |
Filled with sebum or fluid, may grow slowly |
No |
| Lichen Planus |
Flat-topped, purplish or reddish bumps |
Inflammatory, sometimes itchy or sore |
No (autoimmune) |
Do Fordyce Spots Need Treatment?
No. Fordyce spots do not require treatment.
They are entirely harmless and only treated for cosmetic reasons if they cause distress or self-consciousness.
Treatment Options (If Desired)
If you wish to reduce their appearance, several safe, minor procedures can be discussed:
- Hyfrecation – A precise procedure using a fine electric current to remove surface tissue. Performed under local anaesthetic with minimal downtime.
- Laser Therapy – Certain lasers can help reduce their visibility.
- Topical Treatments – Occasionally prescribed to lessen prominence, though results vary.
Your clinician will discuss the benefits, limitations, and any potential side effects, such as temporary redness or pigmentation changes.
Our Genital Dermatology Approach (Our Patients Journey)
We understand that genital skin concerns can feel sensitive. At Clarewell Clinics, we offer:
- Comprehensive consultations – in-person or online
- Visual assessment and diagnosis
- Same-day Hyfrecation where suitable
- Clear aftercare guidance and follow-up
To start, complete our Pre-Appointment Questionnaire.
If you’d like same-day treatment, you can upload clear photos for review and a quote before attending.
When to Seek Specialist Advice
Book an appointment if:
- You’re unsure whether it’s Fordyce spots or another condition
- The area becomes painful, itchy, or inflamed
- You notice new, growing, or changing lesions
- You feel anxious or self-conscious about their appearance
A proper assessment provides clarity, reassurance, and—if needed—tailored treatment options.
Note from Clarewell Clinics
Our Specialists in Sexual and Reproductive Health are highly experienced in diagnosing and managing genital skin conditions.
We provide confidential, evidence-based, and compassionate care, helping you understand your body and feel comfortable again.
If you’re concerned about Fordyce spots or any genital lumps and bumps, contact us today to book a consultation.
