Vaginal itching and white discharge, itching may be caused by contact irritants or inflammation, the discharge may be normal leukorrhea or abnormal leukorrhea caused by disease factors, which needs to be actively treated based on a comprehensive judgment of leukorrhea traits, signs and examination results. Common causes and treatment I. Vaginal itching and normal leucorrhea 1. External stimulation: When leucorrhea is normal but vulvar and vaginal itching occurs, most of it is due to external stimulation, such as inappropriate underwear, sanitary napkins, bad mood, etc. At this time, you should change clothing items and adjust your mood in time. 2. Systemic diseases: Normal leucorrhea but itching at the vaginal opening may be related to diabetes, which can be excreted with urine when blood sugar is poorly controlled. Itching of the vagina may occur under the stimulation of diabetes, often accompanied by typical symptoms of diabetes such as eating more, drinking more, urinating more and losing weight. Active control of blood sugar, such as insulin injection can control urine sugar and reduce the symptoms of itching, and when itching is serious, drugs such as glycolic lotion and cortisol ointment can be used to relieve the symptoms. Second, vaginal itching and abnormal leucorrhea are usually caused by vaginitis, often with symptoms such as vulvar and vaginal itching, increased leucorrhea and odor, such as mycosis fungoides, bacterial vaginitis, etc. It can also cause gynecological inflammation such as cervicitis and pelvic inflammatory disease by upstream infection, and in severe cases, it is manifested as contact bleeding, bloody leucorrhea, abdominal pain and bloating, prolonged menstruation, etc. Antibiotic treatment can be applied, generally choose anti-anaerobic antibiotics, oral or vaginal topical medication. Erythromycin ointment can be applied when vulvar itching is severe. Other corresponding treatments will be carried out by the doctor when the symptoms are severe by integrating other examination results such as gynecological ultrasound and abdominal CT. In case of vaginal itching and leucorrhoea, you should wear loose and breathable underwear, change sanitary napkins regularly during menstruation, clean your vulva regularly and keep it dry.