White Bumps on Lips: Causes and Concerns - Dermatology

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White bumps at the corners of the mouth?


Hello, doctor.
In mid-March, I had an encounter with a sex worker and used a condom for intercourse, but did not use one for oral sex.
We also kissed and had some tongue contact, which makes me worried about HIV.
I had an HIV test at the end of April, and the result was negative, but I know the window period is not over yet.
Recently, I noticed white spots on my upper lip that seem to be increasing in number.
They are flat, and I also found small white bumps at both corners of my mouth that feel rough and are also increasing in number.
I looked online and it might be sebaceous gland hyperplasia, but I’m still very concerned and wanted to ask the doctor.

Niming, 20~29 year old female. Ask Date: 2018/05/16

Dr. Wu Yuxin reply Dermatology


No lesions were observed, and it is not possible to determine the issue.
If you are very concerned, please seek medical attention promptly.

Reply Date: 2018/05/16

More Info


Understanding white bumps on the lips can be concerning, especially after potential exposure to sexually transmitted infections (STIs). It's important to approach this situation with a clear understanding of the possible causes and when to seek medical advice.

The white bumps you are describing could be attributed to several benign conditions. One common cause is mucous cysts, also known as mucoceles, which can occur on the lips and are typically harmless. These cysts form when the salivary glands become blocked, leading to a buildup of mucus. They often appear as smooth, painless bumps and can vary in size. Another possibility is Fordyce spots, which are small, painless, pale bumps that are actually enlarged sebaceous (oil) glands. These are normal anatomical variations and are not a cause for concern.

Another potential cause could be oral thrush, a fungal infection caused by an overgrowth of Candida yeast. This condition can lead to white patches in the mouth, including on the lips, and may be accompanied by discomfort or a burning sensation. If you notice any other symptoms, such as pain, difficulty swallowing, or a persistent sore throat, it would be wise to consult a healthcare professional.

Given your recent history of potential exposure to HIV and your subsequent negative test result, it is understandable to be anxious about any new symptoms. However, it is important to note that the window period for HIV testing can vary, and while a negative result at four weeks is reassuring, it is recommended to follow up with additional testing at three months for conclusive results.

In terms of the white bumps, if they are increasing in number or causing you discomfort, it would be advisable to see a healthcare provider, preferably a dermatologist or an oral health specialist. They can perform a thorough examination and may recommend a biopsy if there is any concern about the nature of the lesions.

In summary, while the white bumps on your lips could be benign conditions such as mucous cysts or Fordyce spots, it is essential to monitor their progression and consult a healthcare professional if you have concerns. Additionally, maintaining open communication with your healthcare provider regarding your sexual health and any potential risks is crucial for your overall well-being. Remember, early intervention and accurate diagnosis are key to managing any health concerns effectively.

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