White Spots on the Penis – Causes, Diagnosis & Treatment

Safe, confidential, and medically accurate guidance from a Central London specialist clinic.

White spots on the penis are very common and, in most cases, completely harmless. They can appear on the head of the penis (glans), the shaft, or the foreskin and are rarely caused by sexually transmitted infections.

This page explains all common causes, how to tell them apart, and when treatment may be considered.

Are White Spots on the Penis Normal?

Yes. The majority of white spots are normal anatomical variations or benign skin conditions. Many men have them from adolescence onward and experience no pain, itching, or health problems.

The key is identifying the cause correctly.

Common Causes of White Spots on the Penis

1. Pearly Penile Papules (PPP)

See also: Pearly Penile Papules / Hirsutoid Papilloma

Small, smooth, dome-shaped bumps arranged in neat rows around the rim of the glans.

  • Completely harmless
  • Not contagious
  • Not an STI
  • Do not go away on their own
  • Can be removed safely for cosmetic reasons

2. Fordyce Spots

See also: Fordyce Spots

Visible sebaceous (oil) glands that appear as white or yellowish dots, usually on the shaft or foreskin.

  • Very common
  • Painless
  • Harmless
  • Not infectious
  • Cosmetic removal optional

3. Ectopic Sebaceous Glands

Sebaceous glands located closer to the skin surface than usual.

  • Normal anatomical variation
  • Often mistaken for infection
  • No treatment required unless cosmetic

4. Tyson Glands

Small white papules near the frenulum.

  • Normal glands
  • Harmless
  • No treatment required

5. Milia (Keratin Cysts)

Tiny white cysts filled with keratin.

  • Firm, smooth bumps
  • Benign
  • Not contagious

6. Penile Acne / Folliculitis

Blocked hair follicles causing small white or red spots.

  • May resolve on their own
  • Can be mildly inflamed
  • Not an STI

7. Lymphocele / Lymphangiosclerosis

Firm, pale cords or lumps related to lymphatic vessels.

  • Usually temporary
  • Often resolves without treatment

8. Psoriasis or Dermatitis

Redness with flaky white scaling.

  • May itch
  • Chronic skin condition
  • Managed medically, not surgically

9. Yeast Infection (Thrush)

White patches with redness or irritation.

  • May cause discomfort or discharge
  • Treatable with antifungal medication

10. Balanitis

Inflammation of the glans.

  • May cause redness, white patches, or discharge
  • Requires medical assessment

11. Lichen Sclerosus

White, shiny patches that may scar over time.

  • Requires specialist review
  • Not cosmetic

12. Molluscum Contagiosum

Small white bumps with a central dimple.

  • Viral and contagious
  • Needs medical treatment

13. STIs

Most STIs cause sores, ulcers, or blisters, not true white spots. Early lesions can sometimes be mistaken for white bumps — this is why proper diagnosis matters.

How to Tell What Type of White Spot You Have

Feature

PPP

Fordyce Spots

Infection / STI

Location

Around glans

Shaft / foreskin

Anywhere

Pattern

Symmetrical rows

Random clusters

Random / spreading

Colour

White/flesh-tone

White/yellow

Red, ulcerated, or pus-filled

Pain/itch

None

None

Possible

Contagious

No

No

Often yes

When to See a Doctor?

You should seek medical advice if:

  • The spots are painful, itchy, or spreading
  • There is discharge, bleeding, or ulceration
  • You are worried it could be an STI
  • You want cosmetic removal

Treatment Options for White Spots on the Penis

Most white spots do not require treatment.

For cosmetic concerns (such as PPP or Fordyce spots), safe medical options include:

  • Electrosurgery (Hyfrecator) – most precise and preferred
  • CO₂ laser – alternative in selected cases
  • Topical medication for inflammatory conditions
  • Antifungals or antibiotics where medically indicated

Do not attempt DIY removal — this can cause scarring, infection, and permanent damage.

Frequently Asked Questions

Yes. Most are harmless anatomical variations.

Almost always no. PPP and Fordyce spots are not infectious.

Some inflammatory causes do. PPP and Fordyce spots do not.

No. Home treatments are unsafe.

Next Step

If you are unsure what is causing your white spots or are considering cosmetic removal, a discreet professional assessment can provide clarity and reassurance.

Remove Pearly Penile Papules in 60 minutes

Medically remove PPP in a single appointment with Dr. Josh

This simple medical procedure will fully remove all papules.
After treatment you can continue your day unencumbered.

Arrange an appointment

Read about the removal process