Itchy vulva and tofu scum discharge are typical features of mycosis fungoides. If the patient has mycosis vaginalis, there will be a change in the character of the secretion, commonly tofu scum-like secretion, but also can be seen in curd-like secretion. At the same time, the discharge will increase, and then outflow out of the vaginal opening, stimulating the local skin of the vulva, thus appearing vulvar itching symptoms. For this situation, you need to go to the hospital as soon as possible, check the vaginal discharge. If it is confirmed to be mycosis vaginalis, generally choose to use topical vaginal treatment with antifungal drugs, including miconazole nitrate suppositories, mycotoxin suppositories, clotrimazole suppositories, and if necessary, you can consider oral treatment with antifungal drugs, such as fluconazole.