Most of the itching in the perineum is inflammation. In addition to the itching, it may be accompanied by some other symptoms, such as an increase in vaginal discharge and an increase in vulvar leukorrhea, and this is when you need to go to the hospital. Sometimes the doctor may do a secretion test and send the secretion to the laboratory to see what kind of inflammation it is. Because some patients may understand that itchy vulva means vulvar inflammation, in fact, there are many kinds of vulvar inflammation, the most common include mycosis vaginalis, bacterial vaginitis, trichomoniasis vaginitis, these medications are based on the results of the patient’s laboratory tests and take different drugs for treatment. Often in the clinic to see a lot of patients may be an itchy vulva or leukorrhea, go to the drugstore to buy some drugs, and then used, used bad before coming to the hospital for examination, this time there is a drug in the vagina, and also has been treated with drugs, to the hospital examination is often ineffective because of what can not be detected. So it is recommended that if this happens, the patient should first go to the hospital to do a leukorrhea test, and after the test, according to the results of the test and then use the medicine, so that the treatment effect is better.