If you’ve ever noticed small whitish-yellow or flesh-colored bumps on your lips, the inside of your cheeks, or even on your private parts, it can be alarming at first. Many people immediately think of infections or serious conditions. However, in most cases these bumps are completely harmless and are known as Fordyce Spots. First described by dermatologist Dr. John Addison Fordyce in 1896, these spots are far more common than most realize, affecting an estimated 80 percent of people worldwide.
Fordyce Spots are simply enlarged sebaceous glands, the tiny oil-producing structures in our skin. Normally, sebaceous glands are associated with hair follicles, but in this case they appear independently, which is why they can show up in hairless areas such as the lips, the inside of the mouth, or the genital region. Because they are not linked to infection or disease, they do not cause pain, itching, or irritation. Still, their appearance often leads people to worry or confuse them with other conditions such as genital warts, herpes, or other sexually transmitted infections.
Interestingly, Fordyce Spots are present from birth, but they typically become more visible during puberty or later in life. This is because hormonal changes increase oil gland activity, making the spots stand out more. They are particularly noticeable in people with naturally oily skin, though they can occur in anyone. On the lips, they may appear as small pale clusters near the corners of the mouth, while in the genital region they sometimes show up in scattered patches, which can be concerning to those who are unfamiliar with them.
When found on the p*nis or vulva, Fordyce Spots can closely resemble other skin issues such as Molluscum contagiosum, epidermoid cysts, or even herpes lesions. Because of this similarity, it’s always wise to consult a healthcare provider if you are unsure. A doctor can quickly distinguish Fordyce Spots from other conditions, often through a simple physical examination without the need for invasive testing. This reassurance alone can provide peace of mind for people who may have spent time worrying unnecessarily.
While Fordyce Spots are completely harmless, some individuals choose to seek treatment for cosmetic reasons. The Cleveland Clinic and other dermatology sources list several options that can reduce their appearance. These include cryotherapy, which involves freezing the spots; electrodessication, where an electric current is used to remove the gland; laser skin resurfacing, which smooths the skin and reduces visibility; micro-punch surgery, a minor technique that removes the spots directly; and topical retinoid creams, which can improve the texture of the skin over time. Each of these approaches carries its own risks and benefits, so consultation with a dermatologist is recommended before pursuing treatment.
What should not be done is picking, squeezing, or scratching at Fordyce Spots. Because they are glands rather than pimples, squeezing does not remove them and instead increases the chance of irritation, infection, or permanent scarring. This is one of the main reasons medical professionals caution against self-treatment at home.
For those who want to minimize the appearance of Fordyce Spots naturally, maintaining a gentle skincare routine can help. Washing with warm water and mild cleansers, keeping the skin moisturized, and avoiding harsh scrubs or drying agents can reduce irritation and keep the skin looking healthy. Some people also find that adopting a balanced diet, reducing stress, and avoiding excessive oil buildup on the skin can make a difference in how noticeable the spots appear.
Ultimately, Fordyce Spots are a normal part of human anatomy and nothing to fear. They are not contagious, they do not signal poor hygiene, and they are not linked to cancer or sexually transmitted diseases. For most people, the best approach is simply understanding what they are and accepting them as a harmless variation of the body’s natural structure. With proper knowledge and, when necessary, reassurance from a healthcare professional, these spots can be seen for what they truly are—just another unique aspect of the skin that does not threaten health.
