Under normal circumstances, there is no acne on the vulva. The said vulvar acne should be a skin infection on the vulva, that is, a skin boil or cyst on the vulva, which looks similar to acne on the face, so one may ask what to do with acne on the vulva. This condition is usually a skin infection that is a boil. If it is very mild and the pain is not very serious, you can use topical anti-infective medication, which can be iodine, iodophor, erythromycin ointment, etc. However, if the boil is serious and seriously affects your life and the pain is more obvious, you should go to the hospital as soon as possible to see if it needs to be cut and drained. Of course, this skin inflammation of the vulva should be distinguished from cysts and abscesses of the vestibular gland, which require a minor surgery by a gynecologist to cut and drain the cysts to prevent further infection.