The symptoms of acne are granules in the vulva and vagina of women. The reasons for this are: 1. poor vulvar cleanliness, the vulva is infiltrated by sweat, urine, feces and menstruation, excessive secretion of sebaceous glands and blockage of hair follicles triggers folliculitis. 2. gynecological inflammation, especially vulvodynia, vaginitis, inflammatory secretions stimulate the vulvar vaginal skin leading to vulvar vaginal infection. 3. endocrine imbalance, when the body’s secretion is out of balance will affect the metabolism of skin pores, metabolites accumulate in the pores for a long time. 4. Irrational diet, spicy and stimulating food, frequent smoking and alcohol consumption, etc. Once the vulva and vagina are found to have acne and pimples, you can take oral minocycline tablets, ciprofloxacin, azithromycin, while using 1:5000 potassium permanganate solution sitz bath, while using erythromycin ointment, terbinafine hydrochloride cream, topical application of Bactrim, keep the vulva clean, pay attention to a reasonable diet.