The growth of many small granules of tissue on the vulva suggests the presence of pseudowarts or true warts. For example, when there is inflammation of the vulva, including prolonged irritation from vaginal discharge, this can cause the vulvar tissue to grow and appear as hyperplasia-like tissue. In this case, an examination of the discharge and depending on the situation, vaginal plugs can be used to treat the small granulations on the vulva. For example, if you have true warts, you may have human papillomavirus infection, which can be transmitted through sexual intercourse or indirectly through public baths or toilets. In this case, it is important to go to the gynecology department for HPV cancer screening. Also, pathological tests of the small granulation tissue should be performed to determine if it is a true wart. If it is, laser surgery is needed to treat it to avoid abnormalities that can affect the reproductive organs.