Vulvovaginal itching is usually considered the presence of vulvovaginitis or vaginitis, vulvovaginitis or vaginitis treatment is mainly based on topical medication. If it is trichomonas vaginitis or bacterial vaginitis, you can also choose oral medication, usually choose anti-anaerobic drugs, such as metronidazole, tinidazole. Vulvovaginitis is an inflammation limited to the vulva, usually accompanied by itching, vulvar redness and swelling, usually without leukorrhea changes. Treatment of vulvovaginitis usually opts for localized warm water sitz baths, followed by antibiotic application. Vaginitis clinically the most common by far are three types, namely trichomoniasis, mycosis fungoides and bacterial vaginitis, we can go to the hospital to do a simple vaginal secretion test, it can help to identify. Once you know which type of vaginitis you have, you can then choose to use topical or oral medication for better results.