Noticing small white or yellowish bumps around the mouth or genital area can be alarming, but in many cases the explanation is harmless. One common cause is Fordyce spots, tiny bumps that form when the skin’s oil (sebaceous) glands become more visible. First described in 1896 by dermatologist Dr. John Addison Fordyce, these spots are considered a normal variation of skin rather than a medical problem. They often appear on the lips, inside the cheeks, or on the genitals and usually become more noticeable during or after puberty. Health experts estimate that 70–80 percent of adults have Fordyce spots, although many people don’t realize it because the bumps are painless and easy to overlook. Because they’re a natural feature of the skin, they aren’t contagious and don’t pose any health risk. For most people, the spots simply remain a cosmetic detail rather than a condition that requires treatment.

Many people worry about Fordyce spots because they can resemble other skin issues, particularly herpes. However, the differences are important. Herpes, caused by the herpes simplex virus, typically produces painful blisters or sores that may itch, burn, or break open before healing. Fordyce spots, on the other hand, are usually painless, non-itchy, and stable, meaning they don’t develop into open sores. Another condition that can be confused with Fordyce spots is milia, which are tiny cysts formed when dead skin cells become trapped beneath the surface of the skin. While Fordyce spots rarely require treatment, some people choose cosmetic procedures such as laser therapy, cryotherapy, or topical treatments like retinoids to reduce their appearance. Dermatologists also warn against attempting to squeeze or pop these bumps at home, as this can irritate the skin or cause scarring. If there is ever uncertainty about a new or unusual skin change, consulting a medical professional can provide reassurance and proper guidance.