Small red spots on the vulva may be vulvar eczema, contact dermatitis, syphilis, etc., some of the disease of mild patients may be self-healing, severe cases generally can not be self-healing, it is recommended that according to the cause of the general treatment, medication to help heal the disease. 1. For vulvar eczema, you can follow the doctor’s instructions to use glycerine lotion cleaning, tretinoin ointment and other glucocorticoids, tacrolimus ointment and other immunosuppressants, oral antihistamine such as loratadine and so on. 2. For contact dermatitis, should be clear and away from allergens, part of the mild cases may be self-healing, serious cases can follow the doctor’s advice oral antihistamine such as loratadine, prednisone and other glucocorticosteroids. 3. For syphilis caused by, generally can not be self-healing, the need for timely treatment of expulsion of plum, can be prescribed by the application of penicillin and other antibiotics to kill syphilis spirochetes. It is recommended that people with small red spots on the vulva consult a doctor in time to clarify the cause of the disease, under the guidance of the doctor for standardized treatment, and not blindly wait for self-healing.