For vulvar itching during menopause, topical application of ethylene estradiol cream or estrogen ointment is recommended. Most of the vulvar itching during menopause is caused by the decrease of estrogen in the body, and severe symptoms can be treated with oral Clomid and Neerastanol oral solution. If menopausal vulvar itching is accompanied by an increase in vaginal discharge, it is considered to be vaginitis caused by a decrease in estrogen in the body. It is recommended to use bitter ginseng lotion to wash the vulva and metronidazole suppositories for vaginal suppositories for 7-10 days for a course of treatment, which can effectively relieve vulvar itching and increased vaginal discharge. After entering menopause, due to the atrophy of ovarian function, the estrogen in the body is reduced and a series of menopausal syndromes may occur, such as vulvar itching, sweating, irritability, insomnia and dreaminess.