Small granules on the vulva may be a symptom caused by diseases such as pseudowarts, condyloma acuminatum, and vestibular cysts. If you have a wart on your vulva, you should go to the hospital and get regular treatment under the guidance of your doctor. 1. Pseudowarts: Pseudowarts are a kind of papillary benign tumor occurring in the female pubic area, which may be related to chronic inflammation or long-term stimulation of secretions. The patient may be localized in the dense distribution of small papules, some may be fluffy, fish seed. Therefore, patients with pseudo warts can have the symptom of small meatballs on the vulva. 2. Acute warts: Acute warts is a sexually transmitted disease caused by human papilloma virus infection. The disease is highly contagious and occurs in sexually active young and middle-aged people. Patients often manifested as skin and mucous membrane superfluous organisms, the size and shape of the variable, often occur in the anus and external genitals and other parts of the body. 3. Vestibular cysts: Vestibular cysts are formed when the opening of the vestibular duct is blocked due to various reasons and secretions accumulate in the gland cavity. Small cysts are usually asymptomatic, while large cysts are mainly manifested by a feeling of swelling in the vulva. As a result, patients with vestibular cysts may experience symptoms such as small granules on the vulva. Patients with small granules on the vulva should go to the hospital in time and under the guidance of the doctor for regular treatment.