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A swollen vulva is a common symptom of vaginitis, which is an inflammation of the vagina. Sexual arousal causes increased blood flow to the area, causing it to swell and become puffy. But if the Bartholin's cyst grows large, it can become uncomfortable and lead . What Causes a Swollen Labia and How Is It Treated? Feb 20, - My right vaginal lip had swelled up, almost like a balloon, much bigger than the other side. It felt puffy and swollen, but not exactly painful, just.