Since the cause of vulvar pain varies, the medication to be rubbed can vary greatly. If a woman has vulvar pain due to irritation from abnormal vaginal discharge, she will need to have her leukorrhea routine checked to confirm the specific type of vaginitis and then use medication. Patients with mycosis fungoides can often use clotrimazole cream, which is applied topically to the vulva to stop the itching. For women with bacterial vaginitis causing pain in the vulva, a compound cypress lotion can be used to wash the vulva and metronidazole pessary can be used for vaginal plugging. If a woman has pain due to viral infection of the vulva, topical application of acyclovir ointment may be used.