If there is a hard lump next to the vulva, and the lump itself is painful when touched by hand, this condition is often caused by local inflammation, such as a small vulvar boil or an abscess in the vestibular gland, and active anti-inflammatory treatment is recommended. If there is a hard lump next to the vagina, but there is no pain when touched by hand, this condition must be taken seriously. It is recommended to have a superficial color ultrasound examination to understand the nature of the hard lump, mainly to exclude the possibility of vulvar cancer. In addition, it is also clinically recommended to exclude the hard chancre caused by syphilis infection, so blood can be drawn and tested for syphilis serum to see if there is a positive result, and the clinic will then give the necessary treatment according to the result.