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What are these shiny white bumps on my foreskin that itch when the foreskin is stretched?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have white spots present on the foreskin. These are shiny and itchy when the foreskin is stretched. What to do?

Thank you.

Answered by Dr. Dilip Kumar Meena

Education:

MD

Professional Bio:

Dr. Dilip Kumar Meena is a Dermatologist and Venereologist specializing in the diagnosis and treatment of skin, hair, and nail disorders, as well as sexually transmitted infections. He emphasizes personalized treatment plans, preventive care, and patient education to promote healthy skin and overall well-being. Known for his compassionate and thorough approach, he provides comprehensive care tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I think these are fordyce spots and are harmless ectopic sebaceous glands only. These can be seen over the genitals or lip mucosa. The cause of these is not very well known, but as these are completely harmless occurrences in many people, no treatment is usually required. This will not lead to any problem in any way, be it sexual or otherwise.

And these are not a part of any STD (sexually transmitted disease).

Thank you.

Patient's Query

Hi doctor,

Thank you for your answer.

Can Fordyce spots occur on the foreskin?

I am just wondering because these spots are on the foreskin where we do not sweat. Also, sometimes, there is a burning sensation in these spots.

What about lichen nitidus? Can it be that?

Thank you.

Answered by Dr. Dilip Kumar Meena

Education:

MD

Professional Bio:

Dr. Dilip Kumar Meena is a Dermatologist and Venereologist specializing in the diagnosis and treatment of skin, hair, and nail disorders, as well as sexually transmitted infections. He emphasizes personalized treatment plans, preventive care, and patient education to promote healthy skin and overall well-being. Known for his compassionate and thorough approach, he provides comprehensive care tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

Fordyce spots are very common over the foreskin (prepuce).

Very rarely, they can have mild burning, but yes, they are largely asymptomatic.

Lichen nitidus is more of a skin-colored dome-shaped lesion, mainly present over the shaft of the penis diffusely, not localized to the foreskin.

Clinical appearance does not favor lichen nitidus.

I can state facts about why it is not lichen nitidus, but there is no point in doing that much here as these are clearly Fordyce spots.

There is nothing to worry about in this condition. Just apply a moisturizing cream like Cetaphil and clean with a mild cleanser like Cetaphil cleanser for sensitive skin to avoid occasional burning.

And these do not sweat glands. These are enlarged sebaceous glands (oil glands).

Thank you.

Patient's Query

Hi doctor,

Thank you for your answer.

Are there any pictures of Fordyce spots that you can share?

Answered by Dr. Dilip Kumar Meena

Education:

MD

Professional Bio:

Dr. Dilip Kumar Meena is a Dermatologist and Venereologist specializing in the diagnosis and treatment of skin, hair, and nail disorders, as well as sexually transmitted infections. He emphasizes personalized treatment plans, preventive care, and patient education to promote healthy skin and overall well-being. Known for his compassionate and thorough approach, he provides comprehensive care tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

I have collected only a few images of Fordyce spots over the same area from the internet. Fordyce spots are more common over lip mucosa and then genitals. Thisbeing a common condition, I do not usually take pictures of it in my practice.

I am sharing the link. I hope you can see these images and find them useful.

Thank you.

Medically reviewed by iCliniq medical review team
Published At November 28, 2022
Reviewed At January 18, 2024

Education:

MD

Professional Bio:

Dr. Dilip Kumar Meena is a Dermatologist and Venereologist specializing in the diagnosis and treatment of skin, hair, and nail disorders, as well as sexually transmitted infections. He emphasizes personalized treatment plans, preventive care, and patient education to promote healthy skin and overall well-being. Known for his compassionate and thorough approach, he provides comprehensive care tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Dilip Kumar Meena is a Dermatologist and Venereologist specializing in the diagnosis and treatment of skin, hair, and nail disorders, as well as sexually transmitted infections. He emphasizes personalized treatment plans, preventive care, and patient education to promote healthy skin and overall well-being. Known for his compassionate and thorough approach, he provides comprehensive care tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

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