Itching below is usually seen in gynecological inflammation, mostly caused by vaginal inflammation, which can be seen in bacterial vaginitis, vulvovaginal pseudomonal yeast disease, trichomonas vaginitis, and senile atrophic vaginitis. Vaginal inflammatory discharges are abundant and the discharge out of the vaginal opening is locally irritating, and there is a possibility of this situation of itching below. Patients should pay attention to the cleanliness of the vulva, change underwear and underpants regularly, do not wear tight-fitting clothes and pants, and wash underwear, underpants, basins and towels with boiling water. If the patient’s symptoms are still present after the above treatment, further testing of vaginal secretions is needed to determine which type of vaginitis is causing the problem and then select the right medication. In case of senile atrophic vaginitis, vaginal topical estriol ointment; in case of bacterial vaginitis, vaginal topical metronidazole suppositories, etc. are needed.