Are White Bumps on Scrotum Hair Normal During Puberty? - Urology

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Scrotal issues


Hello doctor, I recently noticed during puberty that there are hairs growing on my scrotum, but at the base of the hairs, there are small white bumps.
Is this normal?

Azheng, 10~19 year old female. Ask Date: 2022/07/01

Dr. Du Shixi reply Urology


Hello: If there has been no unsafe sexual behavior, it should be considered normal.
Wishing you good health.

Reply Date: 2022/07/01

More Info


During puberty, it is quite common for individuals to experience various changes in their bodies, including the development of hair in different areas, such as the scrotum. The presence of white bumps at the base of the hair follicles on the scrotum can be concerning, but in many cases, these bumps are normal and not a cause for alarm.

The white bumps you are observing are likely sebaceous glands, which are small oil-producing glands found in the skin. These glands are responsible for secreting sebum, an oily substance that helps to lubricate the skin and hair. During puberty, hormonal changes can lead to increased activity of these glands, resulting in the appearance of small white bumps, often referred to as sebaceous cysts or follicular keratosis. These bumps are generally harmless and can be a normal part of the development process.

It is important to differentiate between normal anatomical variations and potential medical concerns. If the bumps are not painful, do not change in size, and do not exhibit signs of infection (such as redness, swelling, or discharge), they are likely benign. However, if you notice any changes in the bumps, such as increased size, pain, or any unusual symptoms, it would be advisable to consult a healthcare professional for further evaluation.

In addition to sebaceous glands, other conditions can cause similar symptoms. For example, folliculitis, an inflammation of the hair follicles, can also lead to the appearance of bumps. This condition can be caused by bacterial or fungal infections, irritation from shaving, or friction from clothing. If you suspect that your bumps may be related to folliculitis or any other skin condition, seeking medical advice is recommended.

Another possibility is the presence of pearly penile papules, which are small, harmless bumps that can appear around the head of the penis and sometimes on the scrotum. These are normal anatomical variations and do not require treatment.

In summary, the white bumps you are seeing on your scrotum during puberty are likely normal and related to the changes your body is undergoing. However, if you have any concerns or if the bumps change in appearance or cause discomfort, it is always best to consult with a healthcare provider. They can provide a thorough examination and ensure that everything is normal, giving you peace of mind during this transitional phase of your life.

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