White granules in the vagina may be caused by folliculitis, steatosis, bacterial vaginitis, mycosis fungoides, pseudomonal warts, and condyloma acuminata. If such white particles exist for a long time and are accompanied by symptoms such as vulvar itching, redness and odor of leucorrhea, it is recommended to go to the hospital as soon as possible for gynecological examination such as colposcopy and local pathological biopsy to clarify the diagnosis and target treatment. Common causes and treatments 1. Folliculitis: white granules grow on the vulva, accompanied by redness, swelling, pain and cystic sensation when touched. It is recommended to apply erythromycin ointment locally, and if necessary, the pus needs to be squeezed out and drained. 2. Fatty grains: scattered white granules grow on the vulva, without pain, redness or swelling, and the surface of the granules is smooth. Consider fatty grains caused by fatty tissue deposition, no special treatment is needed. 3. Bacterial vaginitis: inflammatory stimulation may also lead to white granules on vulva, oral metronidazole or intravaginal metronidazole can be taken, vulva can be treated with potassium permanganate sitz bath, then erythromycin ointment can be applied; 4. Mycotic vaginitis: the main symptoms are vulvar itching, leucorrhea is bean curd-like, inflammation stimulates the vaginal wall and leads to corn-like nodules on the inner side of labia minora. The local medication includes clotrimazole suppositories for the treatment of simple mycosis vaginalis, complex mycosis vaginalis according to fungal culture and drug sensitivity test results to choose the appropriate drugs; 5, pseudomonal warts: stimulated by inflammation, local vasodilatation appears small particles, the development of this disease lesions are self-limiting, symptomatic patients can be anti-itch, symptomatic treatment, if necessary, can also be laser or cryotherapy; 6, condyloma acuminata