Vulvar dystrophy is a chronic and common disease, which can be treated by general treatment such as avoiding the use of irritating lotion, choosing cotton underwear, etc.; medication such as tretinoin, hydrocortisone ointment, etc.; physical therapy such as focused ultrasound, fractional laser, etc.; surgical treatment to perform localized lesion excision, etc., which can usually be done through the above ways to try to restore the skin to its normal state. 1. General treatment: it is recommended to keep the vulva clean and dry, avoid the use of irritating shower gel and soap, avoid acidic and spicy stimulating food in diet, wear loose and breathable underwear to avoid local irritation and aggravation of the patient’s symptoms. 2. Drug treatment: local itching is obvious, can give glucocorticoid topical drugs, such as trimethoprim, hydrocortisone ointment, can effectively control itching. After the symptoms are relieved, the use of drugs needs to be stopped. Tacrolimus and pimecrolimus cream can also be given to help relieve itching. 3. Physical therapy: If the symptoms are severe or the medication is not effective, the doctor will choose different treatments according to the degree of the patient’s condition, such as focused ultrasound and fractional laser, which can remove the abnormal epithelial tissues and destroy the nerve endings of the dermis layer, which can relieve the itching. 4. Surgery: If the condition is serious and medication and physical therapy are ineffective, it can be treated by surgery, such as vulvectomy and vulvoplasty, which can repair the normal anatomical structure of the vulva. Vulvar dystrophy can cause obvious discomfort, such as vulvar itching, hypopigmentation, difficulty in sexual intercourse, pain and other symptoms. It is recommended to go to the gynecology department of the hospital, and give the relevant examination and treatment with the doctor’s advice, which can promote the recovery.