If there is pain in the vulva during sex, it is mostly due to local inflammation of the vulva, as inflammation will lead to local redness and swelling, and friction during sex will cause local pain, often accompanied by an increase in vaginal discharge, so it is recommended to have a gynecological examination in a timely manner, and according to the infected pathogenic bacteria and then give the appropriate treatment. There may also be localized polyps on the vulva or at the vaginal opening, which may cause pain during intercourse and small amounts of bleeding, so surgery is recommended. There may also be vulvar dystrophy, when vulvar dystrophy, the local elasticity of the vaginal opening will be significantly reduced, which will lead to localized pain during coitus, through gynecological examination can often be a clear diagnosis, to be given to the treatment, you can choose to take medication, or you can choose to operate for treatment.