Physiological vulvar atrophy usually has no symptoms, while pathological symptoms are usually manifested as abnormal vulvar skin, pain in sexual intercourse and difficulty in sexual intercourse in severe cases of atrophy, which need timely diagnosis and treatment. 1. Physiological factors: postmenopausal middle-aged and old-aged women, due to the decline of ovarian function, the level of estrogen secretion decreases, and its target organs also shrink, this situation caused by vulvar atrophy, generally does not affect the shape of the vulva, and is not accompanied by the rest of the symptoms of abnormality, it is a normal physiological phenomenon. 2. Pathological factors: (1) Vulvar skin abnormality: if you suffer from atrophic vulvar leukoplakia, it is due to the obstacle of microcirculation of vulvar subcutaneous and the metabolic dysfunction resulting in vulvar atrophy. The symptoms of the patients are itching, thickening or thinning of epidermal keratinization, dryness and atrophy of vulvar skin, tissues and mucous membranes in varying degrees, and the vulvar atrophy is not obvious at the initial stage. (2) Painful sexual intercourse, difficulty in sexual intercourse: if not treated in time may aggravate the symptomatic manifestations, which may be accompanied by localized hypopigmentation of the vulvar skin, atrophy of the clitoris and labia majora and minora to become smaller or adherent, and the patient appears to have a decrease in secretions leading to vulvar dryness, sexual discomfort, painful sexual intercourse and other symptoms. If physiological factors are excluded, it is recommended to go to a professional hospital in time to clarify the cause of vulvar atrophy and follow the doctor’s instructions for treatment.