Dry and itchy vulva during menopause may be caused by atrophic vaginitis, which can be treated with general treatment, estrogen supplementation and inhibition of bacterial growth. 1. General treatment: keep the vulva clean, wear cotton loose underwear, avoid spicy and stimulating food, avoid excessive scratching of the vulva. 2. Supplemental estrogen: Menopausal women are prone to atrophic vaginitis due to the decrease of estrogen level, and can be given supplemental estrogen to increase vaginal resistance. Such as local use of estriol ointment, oral estradiol valerate, nil estradiol and so on. 3. Inhibit the growth of bacteria: local use of antibiotic preparations, such as norfloxacin into the vagina, local dryness is serious, give lubricants for external use. Menopausal vulvar dry and itchy patients, it is recommended to consult a regular hospital in a timely manner, under the guidance of a professional doctor to identify the cause of the disease, give appropriate treatment.