Not pay attention to personal hygiene, vulvovaginitis, bacterial vaginosis, mycosis vaginalis can cause female vulvar pain itching, can be treated with metronidazole, ketoconazole and other drugs. 1. Do not pay attention to personal hygiene: part of the population does not pay attention to cleanliness and hygiene during menstruation, bad hygiene habits during sex or infrequent washing of underwear can cause vulvar pain and itching. This kind of people should pay attention to personal hygiene, usually no special treatment. 2. Bacterial vaginosis: it occurs in young and middle-aged women’s vaginal infection caused by the imbalance of the normal flora, the patient will have increased vaginal discharge and accompanied by fishy odor, there will be vulvar pain, itching, can be systemic or topical use of metronidazole, clindamycin and other medications, to avoid alcohol during the use of medication. 3. Mycotic vaginitis: also known as vulvovaginal pseudomycosis, patients will have vulvar itching, leukorrhea, vulvar swelling and burning sensation in the vagina, patients should be diligent in changing underwear, systemic or local use of fluconazole, clotrimazole and other drugs. 4. Vulvovaginitis: oral antibiotics or topical application should be used to control the infection according to different types of infections; if there is fungal infection, antifungal drugs such as metronidazole and clotrimazole should be used for treatment. All of the above drugs should be used under the guidance of a doctor, do not take on your own.