Hi, A recurring, pimple-like, hard, painful lump on the vulva could indicate a few different conditions, such as: * Bartholin s cyst: This occurs when a gland near the opening of the vagina becomes blocked and fluid accumulates, forming a cyst. Bartholin s cysts can become infected and cause pain. * Hidradenitis suppurativa: This is a chronic skin condition that causes painful, pea-sized lumps to form under the skin. These lumps can become infected and develop into larger, painful nodules. * Folliculitis: This is an infection of the hair follicles, which can cause red, painful bumps around the genitals. * Genital warts: These are caused by the human papillomavirus (HPV) and appear as small, hard, raised bumps. They can be painful or itchy. To prevent future occurrences, it s important to practice good hygiene and keep the genital area clean and dry. Wear loose-fitting clothing and cotton underwear to allow for air circulation. For the present, you may want to apply a warm compress to the lump to help reduce pain and swelling. Over-the-counter pain relievers such as acetaminophen or ibuprofen may also help with pain. However, it s important to see a healthcare provider for an evaluation and proper diagnosis. They may perform tests, such as a pelvic exam or cultures of any discharge, to determine the cause. Treatment will depend on the underlying cause and may include antibiotics or other medications. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician