Sclerosing atrophic lichen planus is a leukoplakia of the vulva, generally referred to as atrophic leukoplakia of the vulva. The specific manifestations of atrophic vulvar leukoplakia are thinning of the skin of the vulva and the perianal area, hypopigmentation and itching, etc.; the general treatments are medication, general treatment and surgery. Vulvar leukoplakia has a certain possibility of malignant changes, if abnormalities are detected, it is recommended to consult a doctor in time and choose the appropriate treatment according to the severity of the disease, the patient’s own symptoms and needs. Clinically, testosterone propionate is commonly used for treatment, and if the itching is severe, clobetasol ointment can also be mixed. If the effect of drug control is not good, surgery can be chosen if necessary. It is recommended that patients seek timely medical treatment under the guidance of the doctor. Diet as much as possible to choose light and easy to digest food, usually pay attention to loose clothing, avoid local long-term moisture.