Dark colored bumps on women’s vulvar lips may be a normal physiological phenomenon, or they may be caused by pathological factors such as pseudo-warts, genital herpes, condyloma acuminatum, vestibular gland cysts and so on. 1. Physiological factors: such as labia hypertrophy and other causes of painless protrusion of the vulva, most of the normal phenomenon, if there is no obvious pain and other discomforts, most do not need to be treated. 2. Pathological factors (1) Pseudo-condylomata: Pseudo-condylomata are mainly caused by excessive leukorrhea and inflammation of the vagina, which irritate the local skin, and are manifested as fish-seed-like or goose-feather-like protrusions on both sides of the labia minora. (2) genital herpes: related to the infection of herpes simplex virus, belongs to sexually transmitted diseases, can be manifested as the female labia and vagina appear in groups of pimples, shaped like small bumps, can develop into blisters, accompanied by pain, fever and other symptoms. (3) Condyloma acuminatum: caused by infection of human papilloma virus, mostly related to sex, can be manifested in the female labia externa, perianal, vagina, the appearance of dark-colored pimples of symptoms, but also accompanied by local pain, itching, and later can be fused with the emergence of cauliflower pattern superfluous organisms. (4) Vestibular gland cysts: vestibular gland outlet in the inner side of the labia minora, when the bacterial infection of the vestibular gland duct epithelium, can cause mucosal swelling, further cause the occlusion of the mouth of the duct, the secretion can not be discharged resulting in the vestibular cysts, the appearance of dark-colored pimples on both sides of the labia minora symptoms. There may be other reasons for the pimples on the vulvar lips, so it is recommended to go to the hospital in time to find out the cause and then carry out targeted treatment to avoid delaying the condition.