Fordyce Spots: Urethral Concerns and Dermatology Insights

Fuchs' spots

Hello Doctor,
1.
I would like to ask if it is possible for Fordyce spots to appear along the red margin of the urethra (the area where the urethra connects to the glans penis)?
2.
Can a general dermatologist examine these Fordyce spots? (Since there is no urologist nearby, I was thinking of seeing a dermatologist first.)
3.
I have not engaged in sexual intercourse and have not visited a public bath in the past three years, so it is unlikely that I have contracted sexually transmitted infections such as genital warts or condyloma, right? Thank you for your response!

Xiao Q, 20~29 year old female. Ask Date: 2014/12/01

Dr. Xu Weikai reply Urology

Hello, a general dermatologist can make a definitive diagnosis.
There have been cases where mouse devices in internet cafes have transmitted warts.
If there are any unclear points, feel free to ask again so we can discuss and research further.
Answers found online should only be used as a reference; it is still necessary to seek medical attention at healthcare facilities.
This message is brought to you by Dr.
Hsu Wei-Kai, Director of Urology at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2014/12/01

More Info

Fordyce spots, also known as sebaceous glands, are small, painless, pale bumps that can appear on the lips, inside the cheeks, and along the genital area, including the urethral region. These spots are a common occurrence and are generally considered benign, meaning they are not harmful and do not pose any health risks.
1. Can Fordyce spots appear along the urethral ridge?
Yes, it is possible for Fordyce spots to appear along the urethral ridge, which is the area where the urethra connects to the glans (tip) of the penis. These spots are simply enlarged sebaceous glands that are visible due to their location and the thinness of the skin in that area. They are not indicative of any disease or infection and are a normal anatomical variation.

2. Can a general dermatologist examine Fordyce spots?
Yes, a general dermatologist can certainly examine Fordyce spots. Since these spots are common and benign, dermatologists are well-equipped to identify them. If you do not have access to a urologist, visiting a dermatologist is a reasonable first step. They can confirm the diagnosis and provide reassurance. If there are any concerns about other conditions, the dermatologist may refer you to a urologist for further evaluation.

3. Is it unlikely to contract sexually transmitted infections (STIs) like genital warts or HPV given my history?
Based on your description of not having had sexual intercourse and not having visited public baths in the last three years, the likelihood of contracting STIs such as genital warts (caused by HPV) is indeed low. However, it is important to note that some STIs can be transmitted through skin-to-skin contact, and HPV can be asymptomatic for long periods. If you have any concerns or notice any changes in your skin or health, it is always best to consult a healthcare professional for personalized advice.

In summary, Fordyce spots are a normal and harmless condition that can appear in various locations, including the genital area. A dermatologist can help diagnose and reassure you about these spots. If you have any further concerns about your skin or potential STIs, do not hesitate to seek medical advice. Regular check-ups and open communication with healthcare providers are essential for maintaining good health.

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