Fordyce Spots: Causes, Treatment, and Misconceptions - Dermatology

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Hello, doctor.
I would like to ask about Fordyce spots, whether in the oral cavity or on the genitals (especially the genitals): 1.
Are they contagious? 2.
Do they continue to appear over time? 3.
Is there a way to make them disappear? 4.
I found information online stating that Fordyce spots commonly occur on the lips, penis, and foreskin, is this information correct? Additionally, can Fordyce spots appear on the glans? Thank you.

Xiao Wu, 40~49 year old female. Ask Date: 2020/12/10

Dr. Wu Yuxin reply Dermatology


1.
No.
2.
It is possible.
3.
No treatment is needed, as it may recur.
4.
The information is correct; it can also occur on the foreskin.

Reply Date: 2020/12/10

More Info


Fordyce spots, also known as Fordyce granules, are small, painless, pale bumps that can appear on the mucous membranes, including the lips, inside the cheeks, and on the genitalia. They are a common occurrence and are considered a normal anatomical variant rather than a disease. Here’s a detailed exploration of your questions regarding Fordyce spots:
1. Are Fordyce spots contagious?
No, Fordyce spots are not contagious. They are not caused by any infectious agent, and therefore, they cannot be transmitted from one person to another. They are simply enlarged sebaceous glands that are present in many individuals, and their appearance is a normal part of human anatomy.

2. Will they keep appearing?
Fordyce spots may become more noticeable with age, but they do not necessarily keep appearing in new locations. Once they develop, they typically remain in the same spots. Some individuals may have more prominent spots due to genetic factors, hormonal changes, or other reasons, but the formation of new spots is not a common occurrence.

3. Is there a way to make them disappear?
While Fordyce spots are harmless and do not require treatment, some individuals may wish to have them removed for cosmetic reasons. Treatments can include laser therapy, cryotherapy, or electrosurgery, but these methods should be approached with caution. It is essential to consult with a dermatologist or healthcare provider before pursuing any treatment, as unnecessary procedures can lead to complications or scarring.

4. Is it true that Fordyce spots commonly occur on the lips, penis, and foreskin?
Yes, this information is accurate. Fordyce spots are most commonly found on the vermilion border of the lips, the inner lining of the cheeks, and on the genital area, including the penis and foreskin. They can also appear on the scrotum. It is important to note that their presence in these areas is normal and not indicative of any underlying health issue.

Regarding your question about the glans penis (the head of the penis), Fordyce spots can indeed appear there as well. They are typically small, painless, and do not cause any discomfort. If you notice any changes in the appearance of spots or if they become painful, it is advisable to consult a healthcare professional to rule out other conditions.

In summary, Fordyce spots are a benign and common condition that does not pose any health risks. They are not contagious, and while they may be more prominent in some individuals, they do not typically continue to appear. If you are concerned about their appearance or have any questions about treatment options, it is best to seek advice from a qualified healthcare provider. Understanding that these spots are a normal part of human anatomy can help alleviate any concerns you may have.

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