Fordyce spots are common, benign occurrences often mistaken for something more concerning. These small, raised bumps are a normal anatomical variation, not associated with any disease. They are not herpes, are not contagious, and are a harmless feature of the skin.
What Fordyce Spots Are
Fordyce spots are small, painless bumps that can appear white, yellow, or flesh-colored. These are enlarged sebaceous, or oil-producing, glands found in areas of skin without hair follicles. Though present from birth, they often become more noticeable around puberty due to hormonal changes.
Fordyce spots commonly appear on the lips, inside the cheeks, and on genital areas like the penis, scrotum, or labia. They can be singular or clustered, typically ranging from 1 to 3 millimeters in diameter. They do not indicate poor hygiene or any underlying health issue.
Distinguishing Fordyce Spots from Herpes
Differentiating Fordyce spots from herpes lesions is important, as their appearances and implications are distinct. Fordyce spots are typically individual, consistent bumps that are painless and asymptomatic. They do not rupture, ooze, or form crusts. In contrast, herpes is a viral infection caused by the herpes simplex virus (HSV), leading to fluid-filled blisters that often cluster together. These herpes blisters are typically painful, and they rupture, leak fluid, and then crust over as they heal.
Another key difference lies in sensation; Fordyce spots do not cause itching, tingling, or burning. Herpes, however, commonly presents with symptoms like tingling, itching, or burning sensations, sometimes even before the blisters appear. The cause of these conditions also differs significantly: Fordyce spots are simply enlarged glands, a natural part of the skin’s structure. Herpes, on the other hand, is caused by a contagious viral infection.
Fordyce spots are not contagious. Herpes, conversely, is highly contagious, especially during an outbreak, and spreads through skin-to-skin contact. The progression of these conditions also varies. Fordyce spots are permanent but generally unchanging in appearance, though they may become more noticeable over time. Herpes lesions, however, follow a distinct healing cycle of blistering, rupturing, and crusting, and the infection can lead to recurrent outbreaks.
When to Seek Medical Advice
Consulting a healthcare professional is advisable if there is any uncertainty about the nature of skin bumps. Seeking medical advice is particularly important if the spots are painful, itchy, or show signs of changing, such as bleeding or developing into open sores. If the bumps cause significant cosmetic concern or emotional distress, a doctor can provide reassurance and discuss potential cosmetic treatments. A medical professional can provide a definitive diagnosis and rule out other similar conditions, including sexually transmitted infections, ensuring appropriate management and peace of mind.