How to treat leukoplakia of the vulva in the elderly

Nowadays, the number of elderly people is increasing day by day. Of course, the disease rate among the elderly is also increasing. Leukoplakia in the elderly is a relatively common disease. It appears as localized or diffuse white patches on the skin of women's genitals, which can spread to the inner sides of the lower limbs, perineum and anus. Symptoms include genital itching, dry skin, thickening and whitening, loss of elasticity, and even atrophy and ulceration. There is pain and burning sensation. It is a torture for patients. How to treat leukoplakia in the elderly? Let's find out together.

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.

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 treatment principles for other diseases are the same as those 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 are adhered, and the vulvar fissure is reduced, affecting urination and sexual intercourse, appropriate surgical treatment can be taken in addition to conservative treatment.

Note:

(1) In daily life, you should wear loose, breathable underwear, mainly made of pure cotton, and avoid wearing underwear made of chemical fibers such as acrylic.

(2) The affected area should be kept dry, ventilated and cool.

(3) Some women are overly hygienic and have the habit of washing their vulva once or several times a day. We recommend that, since the female vulva has a self-cleaning function, it is generally sufficient to wash it 2-3 times a week. Do not use any detergents when washing (because they are generally alkaline). Just use warm water and be careful not to use too hot water.