I've have the same problem, the spots closer to the inside of the lips aren't raised they are just dark but the ones closer to the outside are raised. In the past couple months I've noticed more of them but unfortunately I don't have health coverage so I can't go and do anything about it. I was concerned it was an STD or Melanoma
and still am kind of concerned because there are more now than before.
It's also makes me very selfconscious.
As for the blood spots, my mother told me that for about 2 years after going through menopause that she would seldomly notice faint spotting. When she asked the doctor about it he said it was normal for some.