Hi Mike. I’m not sure if they are fordyce spots? Could be fungal also but I would definitely have it checked with your doctor or dermatologist in case of lichen sclerosus or maybe lichen nitidus.
Yes it could still be LS symptoms doesn’t always include pain or irritation. but I’m not convinced it is LS though it could be yeast or fungal infection are you sexually active or have been? I think it’s time you have it checked out! you have had it for some time now and it hasn’t improved.