Sclerosing atrophic moss of the vulva, also called vulvar dystrophy, develops not only with persistent itching of the vulva, but also with atrophy of the labia majora and minora. There is no special medication that can cure it completely, but you can take oral Avia capsules to maintain epithelial and mucosal functions to relieve the itching symptoms. When itching severely affects sleep, oral estradiol can be considered to relieve women’s mental tension and play a hypnotic role. The main treatment is topical application of trimethoprim cream, progesterone ointment, and fluorescine ointment to the vulva for symptomatic anti-itch treatment. For stubborn itching, local medication is not effective, you can use trimethoprim suspension for subcutaneous injection to stop the itching, and these women should try to eat a light diet, avoid spicy and stimulating food, and prohibit the use of too hot water to wash the vulva.