Vulvar itching and pain are mostly seen in acute vulvovaginitis, acute vaginitis or vulvar squamous epithelial hyperplasia, etc. The details are as follows: 1. Vulvar vaginitis can be cured by laboratory tests of vaginal secretions to find the pathogen and targeted treatment; 2. Vulvar squamous epithelial hyperplasia is a benign proliferation of squamous epithelial cells with vulvar itching as the main symptom, and its treatment mostly uses glucocorticoid ointment for local application on the vulva. However, the treatment effect is not good and usually recurs, and very few of them can be malignant; 3. If the local skin of vulva is itchy and thickened, combined with ulcers or swellings, vulvar biopsy should be performed if necessary to exclude vulvar cancer.