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Dermatology  (Expert Forum)
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Fordyce's Condition
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center Brookline - MA
This forum is for questions regarding Dermatology issues, such as: skin rashes, acne, birthmarks, skin infections, rosacea, and general skin care.

Fordyce's Condition

by Rob Phillips, Jan 15, 2000 12:00AM
Hi there,

I am an 18 year old male, who around 5 years ago noticed that I had these small (less than 1mm each) yellow,wart-like eruptions sort of "clustered" underneath my forskin. They are especially obvious when the forskin is retracted, and are present in forms of around 5 "lines" of growth around 2.5cm in total length.

When I was 15, this condition was positively identified (by a genito-uroligist) as being the harmless "Fordyce's Condition" which was a specialised form of sebacious hyperplasia. The only thing that I am worried about is that they are a bit unsightly. One problem is that they haven't ever changed (i.e. got worse or better) since i first noticed them. It would cause a lot of embarresment to have to explain to a girlfriend what they were - so my main question is when will they go away?

Other questions I have are:

1) What causes this condition? Is it the product of high hormonal levels in teenagers?

2) Can anything be done about them apart from waiting for them to disappear?

3) But main worry: When will they go away? I can't bear having them much longer, really.



Thanks a lot



Rob

by Alan Rockoff, MD, Jan 18, 2000 12:00AM
Rob:



Fordyce described a "Condition," not a disease.  What you're seeing are oil glands, which cover the body but are only visible when enough of them appear on a mucous surface, like the lip or penis, which provide enough of a contrast to make them visible.



They are therefore part of you, are not "caused by" anything, and will not go away.



If knowing they are a normal, novenereal variant is not enough to let you live with them, you could, I suppose, consider having a urologist or plastic surgeon see if they can be removed.



I would urge you to consider, however, taking stock either with yourself or with a counselor about why it is you "can't bear having them much longer."  That seems a bit much to me.



Good luck.



Dr. R
Member Comments (13)

by mattstehling@mindspring.com, Mar 18, 2000 12:00AM
I am a 27 year old and have been living with Fordyce Spots on

my upper lip for 12 years.  I have been somewhat determined in

finding a treatment for the removal of these spots due to the

mental discomfort of having a yellow discoloration in such a visible area.



The two treatments I have tried are:



1.  Liquid Nitrogen dabbed directly on the spots  -- very

    painful and equally ineffective.



2.  CO2 laser surgery  -- Not as painful (once anathesia is

    applied) and quite effective.***There was a moderate risk

    of scarring involved so I'm not confident in having this    

    done again***.



The spots are still visible but are fewer in number, therefore they are not as obvious, but I wish to have them fully removed.



Any Suggestions?

by mattstehling@mindspring.com, Mar 18, 2000 12:00AM
I am a 27 year old and have been living with Fordyce Spots on

my upper lip for 12 years.  I have been somewhat determined in

finding a treatment for the removal of these spots due to the

mental discomfort of having a yellow discoloration in such a visible area.



The two treatments I have tried are:



1.  Liquid Nitrogen dabbed directly on the spots  -- very

    painful and equally ineffective.



2.  CO2 laser surgery  -- Not as painful (once anathesia is

    applied) and quite effective.***There was a moderate risk

    of scarring involved so I'm not confident in having this    

    done again***.



The spots are still visible but are fewer in number, therefore they are not as obvious, but I wish to have them fully removed.



Any Suggestions?

by Matt Olson, Apr 22, 2000 12:00AM
I'm a 23 year old male

I have developed little white spots on my upper lip which seem to fit the discription of fordyce's condition-however it is also effecting the texture of the skin on my lip. Acording to what I have read on this condition it seems unlikly that it would it change the texture on my lip

1)Is this a sympton of fordyce's?

2) if this is not fordyce's-what could it be?

by olivia, Apr 30, 2000 12:00AM
I have fordyce on the lower lip.  It is causing me much

discomfort due to the oily and waxy feeling on my lip.

Any advise on treatment for the oily and waxy feeling.

Would laser be an option and if so would the fordyce

return.

by Darren, May 06, 2000 12:00AM
I have these same cluster of spotsaround the base of my penis and it is slowly spreading, does anyone know of any natural or home treatments that can slow down or erradicate the spread, I heard that Tea tree oil helps, does anyone know of any other troubleshooting tips to remove/hinder these unsightly sebacious cysts.



Please help!!



by George, Jun 15, 2000 12:00AM
I have these little bumps under my bottom lip could these be fordyce's condition ?

by Richard, Sep 05, 2000 12:00AM
Is there any treatement i can have to reduce the number of this unsighty yellow dots in my upper lip and penis area?

by eee, Sep 05, 2000 12:00AM
rrr

by grace, Nov 20, 2000 12:00AM
I have Fordyce lip spots also.  Just diagnosed.  Had been covering them up with lipstick for years as they gradually spread but grew concerned when in the last couple of years I noticed they they were spreading outside my lip line at the corners of my mouth.



The diagnosing doctor said nothing could be done and that a laser could not be tuned into them since they have no color (suppose the yellow cast is from the skin covering them).  But I'm certainly plan to seek more ideas and advice.



Have you considered lip tatooing as a cosmetic solution?



Also do you know if the condition compromises the function of the glands on the lips (which they are presumably a distortion of)?  I ask because I have very dry lips and must frequently slather them with lotions and waxes just to keep them from cracking and bleeding -- possibly related to the Fordyce spots?







by Needtofindaforeskin Today, Dec 19, 2000 12:00AM
Hows your foreskin. Dont be afraid. My farther had the same condicion and he lived a happy 20 years of life. Good luck, and goodbye!!

by troubledkid, Dec 20, 2000 12:00AM
dear doc 1'm 16 and i have what i think is fordyce spots i'm desperate and i can't tell anyone about it not even my parents. these little white spots have started to grow even more and it's started to consume my social life. what do i do when i start dating in my twenties, if a woman saw them she'd be disgusted and i could be made a laughing stock. i beg of you please help me. what can i do.



by Risi, Aug 07, 2007 05:26AM
To: Alan Rockoff, M.D.
I am 19 years old, and I started developing Fordyce's Spots on my penis and lip when I hit puberty, are there any cures for the condition, should I even discuss it with my doctor, or would that just be pointless? Any suggestions, and to clarify I have never had any form of sex, so it isn't an STD.

by ali17, Mar 07, 2008 02:37PM
A related discussion, this kinda works was started.

by joey09, Sep 22, 2008 04:35PM
A related discussion, Fordyces spots was started.
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