White Bumps Above the Clitoris: Causes and Concerns

Genital issues

I would like to ask about white, raised bumps that have developed above my clitoris.
They are smaller than the bumps that can appear on the body, and they do not hurt or itch when touched.
I usually wear panty liners and often wear long pants, and my labia are somewhat thick, so any discharge tends to accumulate in that area.
Could this be due to these reasons, or do I have some kind of condition?

Yu, 20~29 year old female. Ask Date: 2018/04/20

Dr. Huang Jianzhong reply Obstetrics and Gynecology

There are small white raised bumps above the clitoris, which are smaller than the bumps that appear on the body.
They are not painful or itchy when touched.
I usually wear panty liners and often wear long pants, and my labia are somewhat thick, so any discharge tends to accumulate in that area.
Could this be caused by these factors, or do I have some kind of condition? Answer: A visual examination is necessary to determine the cause.

Reply Date: 2018/04/20

More Info

When it comes to the appearance of white bumps above the clitoris, there are several potential causes and considerations to keep in mind. First and foremost, it is essential to approach this situation with care and seek a professional medical evaluation for an accurate diagnosis.
The white bumps you are describing could be a variety of things, including but not limited to:
1. Fordyce Spots: These are small, painless, pale bumps that are actually sebaceous (oil) glands that are visible through the skin. They are completely normal and harmless, often appearing on the genitals and lips.

2. Pearly Penile Papules: These are small, white or skin-colored bumps that can appear around the head of the penis and sometimes in the clitoral area. They are also benign and are considered a normal anatomical variant.

3. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection or irritation. If the bumps are red or inflamed, this could be a possibility.

4. Molluscum Contagiosum: This is a viral infection that results in small, painless bumps on the skin. They can appear anywhere on the body, including the genital area.

5. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or white bumps. They may be painless but can sometimes cause discomfort.

6. Cysts: Sebaceous cysts can occur in the genital area and may present as small, painless lumps under the skin.

Given your description of the bumps being painless and not itchy, it may lean more towards benign conditions like Fordyce spots or pearly penile papules. However, the fact that you have a habit of wearing pads and tight clothing could contribute to irritation or blockage of the glands, potentially leading to conditions like folliculitis or cyst formation.

It is also important to consider hygiene and moisture management in the genital area. Wearing breathable fabrics and ensuring proper hygiene can help prevent irritation and infections. If you notice any changes in the bumps, such as increased size, pain, or any discharge, it is crucial to consult a healthcare provider.

In summary, while the white bumps you are experiencing may not be a cause for immediate concern, it is always best to err on the side of caution. A healthcare professional can provide a thorough examination and, if necessary, conduct tests to rule out any infections or other conditions. Remember, self-diagnosis can often lead to unnecessary anxiety, so seeking professional advice is always the best course of action.

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