There are many gynecological diseases that cause vulvar itching. The main common causes are vaginitis, vulvar eczema, vulvar allergy, and white lesions of the vulva. It is recommended to go to the hospital in a timely manner, and under the guidance of the doctor, laboratory tests for routine leucorrhea examination should be performed to clarify the cause and treat the cause. Common causes and treatment 1, vaginitis: such as trichomonas vaginitis, can appear the symptoms of vaginal opening and vulvar itching. It can be treated with medications such as metronidazole and ornidazole as prescribed by the doctor, and sexual partners should be treated at the same time; such as vulvovaginal pseudomonal yeast disease can also manifest as vulvar and vaginal itching. Treatment should pay attention to eliminating the causative factors and using drugs such as clotrimazole preparation and miconazole preparation placed deep in the vagina as prescribed by the doctor for topical application, but topical application is not suitable for unmarried women, and oral treatment with fluconazole can be applied as prescribed by the doctor. In addition, aerobic vaginitis, anaerobic vaginitis and mixed vaginitis can lead to vulvar itching, which should be treated symptomatically after going to hospital for a clear diagnosis. 2. Vulvar eczema: vulvar eczema can involve the labia majora and minora, perineum, inner thighs, around the anus and groin. The acute phase can be accompanied by intense local itching, burning sensation and pain. If there is no exudation in the acute stage, you can use glycomet lotion under the doctor’s guidance. If there is more exudation, you can use boric acid solution to apply cold and wet compresses, and potassium permanganate solution to sit in the bath. 3. Identify the cause of allergy and keep away from allergens. Take oral loratadine and apply mometasone furoate ointment on the vaginal wall for anti-inflammatory and anti-allergic treatment. 4. White vulvar lesions: These include chronic lichen simplex vulva and sclerosing lichen planus vulvae, both of which can cause vulvar itching. Chronic lichen simplex vulva can be treated with corticosteroids, such as tretinoin ointment and hydrocortisone ointment, under the guidance of a doctor. Sclerosing vulvar lichen planus can be treated with glucocorticoids, immunosuppressants, such as clobetasol propionate ointment and tacrolimus ointment under the guidance of a doctor. Precautions If vaginal itching occurs during pregnancy, it needs to be treated with medication under the guidance of a doctor to avoid affecting fetal development.