Vulvar leukoplakia is medically known as vulvar white lesions or vulvar dystrophy. It is mainly caused by changes in the pigmentation and degeneration of the vulvar mucosal tissue, resulting in keratotic white patches or plates that are difficult to wipe off. When the disease occurs, the vulva becomes extremely itchy. Patients with vulvar squamous epithelial hyperplasia feel that the itching is more severe, which makes many female patients unbearable and are looking for a quick treatment for vulvar leukoplakia. Vulvar leukoplakia is a common disease in female patients. It starts slowly and lasts for different durations. Some patients only have itching for 2 to 3 months from onset to treatment, while some have itching for up to 20 years. The main symptom is the itching of the vulva. It will be severe regardless of the season and day or night. Scratching and friction may cause flushing, edema, erosion or lichenification. At the same time, white thickened infiltrative plaques with clear borders appear on the vulva, which are easy to rupture, forming small pieces of erosion and ulcers, leading to skin lesions. Scrape off the white keratinized mucosa on the surface, and the base is prone to bleeding. Vulvar leukoplakia occurs mostly in middle-aged or postmenopausal women. The lesions often involve the labia minora, the inner half of the labia majora, the clitoris, the clitoral hood and the perineum, but not the vaginal wall, the vaginal vestibule and around the anus. Vulvar pruritus, sometimes with burning and pain. At the onset of the disease, the vulva is first itchy, then locally red and swollen, with a small amount of dandruff on the surface, and the color gradually turns white, but the atrophy is not obvious. In the late stage of the disease, the skin is pearly white and the surface is parchment-like. Some labia majora and minora atrophy, narrowing the vaginal opening, causing difficulty in sexual intercourse. The disease often occurs bilaterally and symmetrically. Endocrine disorders: Endocrine diseases caused by endocrine disorders due to self-pathological abnormalities, or due to genetics, enzyme defects, immune function and other reasons, cause an imbalance between local connective tissue hyperplasia and the stimulation of epidermal metabolism, leading to the occurrence of vulvar leukoplakia. Genetic factors: About 10-30% of patients with vulvar leukoplakia are caused by heredity. The hereditary type of vulvar leukoplakia is mainly atrophic, and the patients are mainly young girls. In clinical practice, the first thing to pay attention to for patients under 15 years old is genetic factors, and ask whether there are patients with vulvar leukoplakia in their parents' family. Vaginal infection and inflammatory stimulation: If vaginal inflammation is not treated in time, the inflammatory secretions will infiltrate into the perineum. Long-term infection and stimulation will damage the skin and mucous membranes, and will gradually develop into vulvar leukoplakia. Other diseases: such as diabetes, vitiligo, vulvar eczema, vulvar itching, etc., if the abuse of drugs or improper treatment, may also cause or aggravate vulvar leukoplakia. The etiology of vulvar leukoplakia is very complex and is related to factors such as heredity, allergic chronic inflammatory stimulation, endocrine disorders, immune metabolic disorders and microcirculatory disorders. Infection and inflammatory stimulation are the main causes, accounting for about 50% of patients. There are many factors that cause vulvar infection and inflammatory stimulation, such as poor hygiene habits, acute and chronic vaginitis, swimming in a bathhouse, cross-infection when staying away from home, etc., which lead to vaginal inflammation. If it is not treated in time, the inflammatory secretion will infiltrate the perineum, and long-term infection and stimulation will gradually develop into vulvar leukoplakia. Causes in Traditional Chinese Medicine. According to the theory of Traditional Chinese Medicine, insufficient blood and essence, kidney and spleen deficiency, and liver hyperactivity may be the causes of vulvar atrophy. The liver stores blood, and the kidney stores essence. Blood deficiency cannot nourish, and essence deficiency cannot irrigate, causing the genitals to lose nourishment, shrink, and turn white. Matrix changes. When inflammation occurs, bacteria produce enzymes that decompose the matrix and cause degeneration, resulting in edema, swelling of collagen fibers, degeneration of blood vessels, and subsequent impact on the epidermis. What causes vulvar leukoplakia? There are many reasons for vulvar leukoplakia, and the specific reasons have not been fully clarified so far. It is closely related to the following reasons. 1. Endocrine disorders: Endocrine disorders in female patients can easily cause dysfunction of the pituitary-ovarian system and induce vulvar leukoplakia. 2. Viral and bacterial infections: related to Epstein-Barr virus infection, Candida albicans infection, etc. 3. Excessive vulvar secretions, long-term stimulation of secretions, causing vulvar itching and repeated scratching 1. Patients should also keep the affected area dry, ventilated and cool, wear moisture-absorbent, breathable, loose, soft, cotton underwear, and avoid wearing underwear made of chemical fibers such as acrylic. 2. The preventive health care of vulvar leukoplakia requires us to actively treat some chronic diseases we have, such as diabetes, endocrine diseases and immune system diseases, and actively treat vaginitis, vulvitis and various diseases. If we passively neglect these diseases, it is easy to cause infection and generate other complications. 3. Patients should keep a good mood and get enough sleep. They should also pay attention to regulating life stress and emotions in daily life and maintain a positive and optimistic attitude. Family members of patients should also give patients the greatest comfort to help them build confidence in overcoming the disease. 4. Patients should avoid eating spicy and irritating foods, and should eat more foods containing more trace elements such as iron, copper, and manganese. Vitiligo patients should not eat foods such as wine, raw onions, raw garlic, and chili peppers. Patients with damp vulva should avoid eating sugar, sweets, apples, and cold and greasy foods. 5. If some ladies who love cleanliness wash their vulva every day, they should be careful when washing. Do not use hot water. Just use warm water. Always keep the vulva clean, reduce irritation and friction, and avoid scratching. Generally, it can be washed with Bamboo Red Vulva White Dispersant. Do not use soap or other alkaline substances. Common symptoms of vulvar leukoplakia: 1. Leukoplakia vulvae with atypical hyperplasia Suffering from vulvar leukoplakia will be accompanied by varying degrees of atypical hyperplasia, but the hyperplastic type is the most common. Under the microscope, it can be seen that the prickle cell layer is arranged without layers, the cells are of different sizes, and some have increased divisions. It can be divided into three levels: mild, moderate, and severe according to the degree. Atypical hyperplasia is mild when it is limited to the deep epidermis, moderate when it involves the middle part of the epidermis, and severe when it involves the entire layer. Patients should be very vigilant about the harm of vulvar leukoplakia and actively seek treatment. 2. Proliferative malnutrition The patient's external skin will thicken and appear dark red, accompanied by raised white spots, which are spaced apart. Microscopic epithelial hyperplasia, irregular thickening of the prickle cell layer, elongated epithelial legs, obvious dermal papillae, hyperkeratosis of the epithelial surface, and chronic inflammatory cell infiltration in the dermis are common symptoms of vulvar leukoplakia. Leukoplakia vulvae When the disease occurs, the vulva becomes extremely itchy, which makes many female patients unbearable and are looking for a quick treatment for vulvar leukoplakia. The main methods are 1. General treatment: pay attention to the cleanliness and hygiene of the vulva, ensure that the vulva is dry and refreshing, and avoid using irritating products to clean the vulva, which will aggravate the condition 2. Drug treatment, you can use glucocorticoid ointments or immunotherapy to relieve the condition and effectively stop itching 3. Physical therapy, for those who are ineffective with drugs, physical therapy can be used, through laser, microwave, freezing and other treatment methods 4. Surgical treatment, patients with severe conditions, such as: patients with suspected malignant transformation of vulvar squamous epithelial hyperplasia, should undergo surgical treatment. 1. External ointment: For the treatment of vulvar leukoplakia, the most commonly used treatment is external ointment. This kind of medicine has a certain effect in the short term, but it only treats the symptoms and not the root cause. Once the medicine is stopped, it will recur, causing dependence on the medicine, and it is difficult to get a fundamental treatment. This is a common treatment method for vulvar leukoplakia. 2. Surgical resection: In clinical practice, surgical treatment is used for some patients with more serious conditions, because vulvar leukoplakia is a precancerous lesion that may develop into vulvar cancer, so surgical resection is advocated. The disadvantages of this treatment method for vulvar leukoplakia are that it causes trauma, sexual life is greatly affected after surgery, and the recurrence rate is high, at more than 80%. 3. Laser and electrotherapy: Physical therapy is also a common method for treating vulvar leukoplakia, but these therapies are not very reliable and can easily aggravate atrophy. This is because the disease is caused by various factors that cause obstruction of the nutritional pathway of the vulva and local lack of nutrients. Electrotherapy and laser aggravate the loss of nutrients, thereby aggravating the atrophy of the fissure. The treatment of vulvar leukoplakia is something that female friends are very concerned about. Many people are unwilling to go to the hospital for treatment because they do not understand the treatment methods of the disease, which eventually causes the disease to seriously affect their lives. Therefore, I hope everyone can pay attention to some of the treatment methods introduced above and go to the hospital as soon as possible to receive systematic treatment. 1) Foods that have anti-vulvar tumor and leukoplakia effects, such as sesame, almonds, wheat, barley, wild melon, black-bone chicken, squid, black-banded snake, pig pancreas, chrysanthemum, black plum, peach, litchi, purslane, chicken blood, eel, abalone, crab, horseshoe crab, sardines, clams, and hawksbill turtle. (2) Foods that can relieve pain include horseshoe crab, red crab, lobster, mussels, sea cucumber, tiger fish, beets, mung beans, radish, and chicken blood. (3) Foods that can relieve itching include amaranth, cabbage, mustard greens, taro, kelp, seaweed, chicken blood, snake meat, and pangolin. (4) Foods that can enhance physical fitness and achieve preventive effects include white fungus, black fungus, shiitake mushroom, hericium erinaceus, chicken gizzard, sea cucumber, coix seed, walnut, crab, skink, needle fish, etc. 1. For pain and sadness, it is advisable to eat horseshoe crab, red crab, lobster, mussels, sea cucumber, tiger fish, beet, mung bean, radish, and chicken blood. For itching, it is advisable to eat amaranth, cabbage, mustard greens, taro, kelp, seaweed, chicken blood, snake meat, and pangolin. To strengthen the body and prevent metastasis, it is advisable to eat white fungus, black fungus, shiitake mushroom, hericium erinaceus, chicken gizzard, sea cucumber, coix seed, walnut, crab, skink, and needle fish. 2. It is advisable to eat more foods that have anti-vulvar tumor and leukoplakia effects, such as sesame, almonds, wheat, barley, wild melon, black-bone chicken, squid, black-banded snake, pig pancreas, chrysanthemum, black plum, peach, litchi, purslane, chicken blood, eel, abalone, crab, horseshoe crab, sardines, clams, and hawksbill turtle. Avoid spicy, greasy and fishy foods such as onions, ginger, garlic, seafood, freshwater fish, meat, mutton, dog meat, poultry such as chicken, duck and goose, etc. Patients with leukoplakia should avoid the following foods: alcohol, raw onions, raw garlic, chili peppers, freshwater fish (crucian carp, silver carp, grass carp, carp), shrimps and crabs, chicken, duck, goose. Vulva is very damp: avoid sugar, sweets, apples, and avoid cold and greasy foods. Women with vulvar leukoplakia should avoid spicy food, alcohol, raw onions, raw garlic, peppers, freshwater fish (carp, silver carp, grass carp, carp), shrimps and crabs, chicken, duck and goose. Vulvar dampness should avoid sugar, sweets, apples, cold and greasy food, so as to avoid the disease being aggravated by accidental ingestion and causing serious damage. |
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