If the vulva does not look swollen but feels bloated, it may indicate the presence of gynecological inflammation or neoplastic diseases, which should be taken seriously. 1. Inflammation: If women have the situation that the vulva does not look swollen but has a feeling of distension, it may suggest the existence of gynecological inflammation, such as vulvitis, vaginitis, pelvic inflammatory disease, cervicitis and so on, which is often accompanied by abnormal vaginal secretion or abdominal pain, and vaginal secretion stimulation of the vulvar area or pelvic vein congestion may appear to be swollen. 2. Tumor: the swelling of vulva may be due to the presence of gynecological tumors, such as uterine tumors, ovarian tumors, etc. The presence of tumors may cause the pelvis to be compressed, hindering the venous blood circulation in the lower limbs, resulting in swelling, which should be taken seriously. There may be other reasons why the vulva is not swollen, so it is recommended to go to the hospital in time to improve the examination to clarify the cause of the disease, and then give targeted treatment or therapy.