The small size of female labia majora is generally determined by congenital heredity, in addition, middle-aged and elderly women in menopause can also appear labia majora become smaller, as long as the labia majora’s skin and mucosal tissues have no abnormal lesions, generally do not need to worry too much. As long as there is no abnormal lesion in the skin and mucosal tissues of the labia majora, there is no need to worry too much. The size of the labia majora in women is generally determined by heredity and other factors. In addition, middle-aged and elderly women in the peri-menopausal period, due to the decline in the level of sex hormones in the body, so there can also be labia majora atrophy and become smaller changes, which is also a normal phenomenon. However, if the labia majora skin and mucosal tissues appear abnormal lesions, you need to be alert to some diseases, such as the patient labia majora and perineum skin papillae or cauliflower-like redundant organisms, accompanied by burning sensation, it may be condyloma acuminatum; if the labia majora and the skin and mucous membrane of the vulva mucosal tissues occur pigmentation changes or mossy changes, accompanied by itching, it may be the result of white lesions of the vulva.