When a woman has vulvar swelling, it depends on whether it is swelling on one side of the vulvar labia or the whole vulva. The causes of vulvar swelling include vulvovaginitis or swelling of the labia caused by vestibular gland cysts, and it is time to make a distinction between the specific causes. If you consider that the vulva is swollen, painful and itchy due to vulvodynia, you can take oral antibiotics and use local antibiotic ointment, such as erythromycin ointment or comfrey oil for local application and symptomatic treatment. The actual vestibular gland stoma surgery.