The causes of small meatballs outside the anus in women are usually not too different from those in men. They may be external or sentinel hemorrhoids, thrombosed external hemorrhoids, enlarged anal papillae, prolapsed rectal polyps, or sexually transmitted diseases such as condyloma acuminatum or lichen planus. Different diseases caused by the size, shape and hardness of the ball of flesh outside the anus are not the same, the treatment will also be different: 1, external hemorrhoids or sentinel hemorrhoids: usually softer in texture, smoother to the touch and no obvious pain. This happens without special symptoms generally do not need to be treated, timely cleaning of the anus after defecation, warm water sitz bath can be; 2, thrombosed external hemorrhoids: if the color of women outside the anus meatball dark purple and touch the pain is obvious, it is considered for the external hemorrhoids subcutaneous hemorrhage caused by thrombosed external hemorrhoids. You can relieve the symptoms by applying local hot compresses and topical medications to reduce swelling and pain. If the symptoms are not relieved or redness, swelling, fever, etc., should consider surgical treatment; 3, anal papilla hypertrophy: anal papilla inflammatory hyperplasia hypertrophy out of the anus, can be touched with a finger. General anal papilla hypertrophy is hard, pale and smooth surface, may be accompanied by a feeling of impurity in defecation. In the early stages, prophylactic treatment with herbal enemas may be used. If conservative treatment is ineffective, it may be necessary to use the ligation line for ligation; 4, rectal polyp prolapse: some from the anus closer to the rectal polyp with the tip, but also with the volume of growth and prolapse out of the anus. The color is usually flesh red, soft and hard. This small ball of flesh can be removed through the anus; 5, sexually transmitted diseases: women infected with condyloma acuminatum or flat warts and other sexually transmitted diseases can also be manifested as an extra-anal ball of flesh, usually before the onset of history of unclean sexual intercourse, condyloma acuminatum or flat warts are often not smooth and clusters of growth. This type of situation requires laser removal of the warts after examination of the cause and antiviral treatment.