Vulvar sclerosing moss in young children may heal on its own, but adult-onset vulvar sclerosing moss is very difficult to cure, and most can only be treated to improve symptoms. Vulvar sclerosing moss is a disease characterized by atrophy and thinning of the perineal skin of the vulva and hypopigmentation to a white color, with typical symptoms of itching and burning sensation of the vulva. It can be categorized into juvenile vulvovaginal sclerosing moss and adult vulvovaginal sclerosing moss. In young children, vulvar sclerosing moss usually resolves by puberty. Adult sclerosing moss is very difficult to cure, and in the late stages of vulvar atrophy can be seen. Adult vulvar sclerosing moss can be improved by long-term medication, commonly used drugs include testosterone propionate cod liver oil ointment, tretinoin cream and so on. If the itching is persistent and surface medication is ineffective, tretinoin suspension can be used for subcutaneous injection. If the effect of drug treatment is not obvious, you can also use physical therapy to carry out treatment, such as carbon dioxide laser, liquid nitrogen freezing to carry out treatment, can make the local tissue necrosis and shedding, and then grow new tissue. If the above medication and physical therapy are ineffective, superficial vulvectomy can be performed. Patients with sclerosing moss of the vulva should follow the doctor’s instructions for treatment and medication. It is important to keep the area clean and dry to minimize local irritation.