Itching of the vulva during menopause may be caused by senile vaginitis, mycosis fungoides, trichomoniasis, or white lesions of the vulva. The most common form of this disease is vulvar sclerosing moss, which mostly causes vulvar itching during menopause, and the symptoms of itching are severe, sometimes worsening at night and affecting sleep. It is important to go to the hospital as soon as possible to have an interview with the doctor to determine whether the lesion is vulvar or caused by vaginitis. If it is caused by vaginitis, first treat the vaginitis, if the vaginitis is healed the symptoms of vulva will disappear. If it is caused by white lesions on the vulva, it must be treated by applying topical creams or by going to a dermatologist for examination and treatment.