The idea is to consider the possibility of having a bud the size of a needle’s eye on the vulva, and to consider the possibility of having a vulvovaginitis, pseudo warts, warts and so on. 1. Vulvovaginitis: if the patient usually do not pay attention to personal hygiene, at the same time due to the local secretion of the attachment and easy to cause bacterial infection and vulvovaginitis, the local skin or hair follicle by the inflammatory factor of stimulation will show local hyperplasia buds or small boils and other manifestations. 2. Pseudo-condylomata: this disease is mostly due to vaginal secretions attached or excessive cleaning and other stimulation of the skin, caused by pimples and mucous membrane elevation, local manifestation of dense distribution of small pimples, and no other special discomfort. 3. acromegaly: this disease is due to human papilloma virus infection caused by infectious diseases, initially localized for small pimples, with the passage of time, localized for papillary or cauliflower pattern superfluous organisms. For the vulva long pinhole size buds, it is recommended to the regular hospital gynecology, clear cause in the doctor’s guidance under the active treatment.