<prompt> Vulvar atrophy and itching are treated byAntihistaminesEstrogen ointmentTamoxifenNone of the above  <response>: Vaginal atrophy: - Mainly related to menopause Cause itching, dyspareunia, rarely bleeding Management by - local estrogen cream, selective estrogen receptor modulator. Ref:- Williams gynecology 3rd Edition; Pg num:- 263 