White Bumps on Genitals: Causes and Treatment Options - Dermatology

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The genitals exhibit symptoms similar to acne?


Hello, Director Yang.
I would like to ask about white bumps resembling acne on the genital area (excluding the glans) and scrotum.
When the skin is stretched, these bumps become more prominent, and sometimes I can extract them like blackheads.
What could this be? Is treatment necessary? This condition has been present for several years.
Thank you.

Mr. Lin, 30~39 year old female. Ask Date: 2012/05/17

Dr. Yang Zhiya reply Dermatology


It could be miliaria.
If it does not affect your daily life, treatment may not be necessary.
However, it is still advisable to consult a dermatologist for confirmation.
Thank you!

Reply Date: 2012/05/17

More Info


Understanding white bumps on the genitals, particularly when they appear as small, pimple-like lesions on the skin of the genital area and scrotum, can be concerning for many individuals. These bumps can have various causes, and understanding them is crucial for determining whether treatment is necessary.

One common cause of white bumps in these areas is sebaceous cysts or epidermoid cysts. These are benign lumps that form when hair follicles become clogged with oil, dead skin cells, and other debris. They can appear as small, round, white or flesh-colored bumps and may sometimes be expressed, releasing a thick, white substance similar to pus. These cysts are generally harmless and do not require treatment unless they become infected or cause discomfort.

Another possibility is Fordyce spots, which are small, painless, pale bumps that are actually enlarged oil glands. They are common and can appear on the shaft of the penis, scrotum, and other areas. Fordyce spots are completely normal and do not require treatment.

Pearly penile papules are another benign condition that can present as small, white bumps around the corona of the glans penis. They are a normal anatomical variant and do not require any medical intervention.

However, it is essential to differentiate these benign conditions from potential sexually transmitted infections (STIs) or other dermatological issues. For instance, molluscum contagiosum, a viral infection, can cause small, raised, pearly bumps that may have a central dimple. This condition is contagious and may require treatment.

Genital warts, caused by the human papillomavirus (HPV), can also appear as small, flesh-colored or white bumps. These warts can vary in size and may require treatment to prevent spread and alleviate symptoms.

If the bumps are accompanied by other symptoms such as itching, pain, or changes in appearance, or if there is any uncertainty about the diagnosis, it is advisable to seek medical evaluation. A healthcare provider can perform a physical examination and may conduct tests to rule out STIs or other conditions.

In terms of treatment options, benign conditions like sebaceous cysts or Fordyce spots typically do not require intervention. However, if a cyst becomes inflamed or infected, treatment may involve drainage or surgical removal. For viral infections like molluscum contagiosum or genital warts, various treatments are available, including topical medications, cryotherapy, or other procedures.

In conclusion, while many white bumps on the genitals are benign and do not require treatment, it is essential to monitor any changes and consult a healthcare provider for a proper diagnosis and treatment plan if needed. Regular check-ups and open communication with a healthcare professional can help ensure that any concerns are addressed promptly and effectively.

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