Mycobacteria are present in the vagina of normal women, but if there is no vulvar itching, odorous discharge, or pain in the vulva and vagina, this condition does not require special treatment, as the vagina itself hosts mycobacteria. However, if the patient has mycobacteria in the vagina and has vulvar itching, odorous discharge, painful vulvar vaginal discharge or typical bean-like discharge, this is indicative of mycosis fungoides. Further examination of the vaginal discharge is required. If the discharge confirms mycosis fungoides, local antifungal medication, such as clotrimazole suppositories or miconazole suppositories or mycobacterial suppositories, should be applied vaginally. For recurrent mycosis vaginalis, oral fluconazole can be administered.