Which method is better for treating white lesions of the vulva?

Vulvar leukoplakia is already very familiar to most women, because it seriously affects women's lives. The vulvar pruritus is extremely itchy, and sometimes there may be burning and pain, which is very distressing to patients. So what are the methods for treating vulvar leukoplakia? Which method is better for treating vulvar white lesions? The following is a detailed introduction for everyone.

Vitamin drugs can be taken for drug treatment. If the vulva is severely itchy and affects sleep, some sedatives can be taken appropriately, and 1% hydrocortisone and 1-2% testosterone ointment can be applied locally. This treatment can be continued for 6-8 weeks, 3-4 times a day. While insisting on long-term treatment, it is very necessary to keep the vulva clean and dry for a long time, not wear too tight underwear, not wear chemical fiber underwear with poor permeability, and eat less allergenic foods.

The medical community calls the whitening, roughening and atrophy of the vulvar skin and mucous membranes to varying degrees caused by various factors vulvar leukoplakia. Its canceration rate is not high, generally only 2%, and it can only be regarded as a precancerous lesion when it is epithelial hyperplasia. People think that the name vulvar leukoplakia is not ideal, so it was renamed chronic vulvar dystrophy. The cause of the disease is unknown, but it is said to be related to the presence of a hormone in the dermis that can inhibit the division and growth of epidermal cells. This hormone can cause an imbalance between local connective tissue hyperplasia and metabolic stimulants.

The treatments for chronic dermatitis, scleroderma, and vulvar leukoplakia are basically the same. If there is severe itching at the lesion, the vulva can be washed with decoction of medicine once or twice a day, then wiped dry, and 2% compound testosterone ointment (this medicine can be prepared by the patient under the guidance of a doctor) can be applied topically, and gently rubbed into the affected skin with fingers. Vitamin A can be taken orally, 250,000 to 500,000 units per day, and vitamin B6 100 mg per day. The treatments for other diseases are the same as the treatment principles for this skin disease. If the epidermis is thickened or there is lichenification, 2% triamcinolone urea ointment can be added.

During treatment, it should be noted that when the condition improves and the itching stops, the medication should not be stopped immediately to prevent recurrence. The medication frequency can be gradually reduced, such as taking the medication every other day or twice a week. Do not eat spicy food; prevent colds and all fever diseases; avoid hot spring baths. If the condition does not improve or worsens after treatment, a biopsy can be performed again to detect atypical hyperplasia or cancer.

If the vulva is severely atrophied, the labia minora is adhered, and the vulvar fissure is reduced, which affects urination and sexual intercourse, appropriate surgical treatment can be taken at the same time as conservative treatment. This disease does not affect pregnancy. If there is a normal sexual life, the woman can get pregnant like other women. If there is no obvious atrophy, natural vaginal delivery can be performed. If the atrophy is severe and the vulvar fissure is reduced, which affects normal delivery, cesarean section can be performed.