How to treat vulvar lichen

Many women nowadays do not pay attention to their own hygiene, which allows some bacteria to get in. Then various gynecological diseases follow. Vulvar lichen is one of them. The lesions mainly invade the clitoris and its foreskin, labia minora, posterior labia joint and perianal area. Because it is a private part, many patients are embarrassed to go to the hospital for treatment, which can easily lead to the aggravation of the disease and increase the harm to themselves. Therefore, going to the hospital for treatment as soon as possible is the correct way to deal with it. How to treat vulvar lichen?

1. General treatment

Keep the vulva clean and dry, do not use irritating drugs or soap to wash the vulva, avoid wearing synthetic underwear, and do not eat spicy and allergic foods. For those with obvious itching symptoms that lead to insomnia, add sedatives, sleeping pills and anti-allergic drugs.

2. Topical medication

The main symptom of this disease is severe itching, and the application of glucocorticoids has a positive effect. 1% to 2% hydrocortisone ointment or 0.025% fluocinolone ointment is commonly used, 3 to 4 times a day. Six weeks after medication, the skin lesions can return to normal. Topical application of testosterone propionate is the standard method for treating lichen sclerosus. The effect varies from person to person. Some atrophic skin can return to normal, some lesions have improved, and some have no obvious effect.

3. Subcutaneous Injection

For patients with stubborn itching and ineffective topical medication, triamcinolone acetonide suspension can be injected subcutaneously. If this method does not achieve the desired effect and the patient still itches, pure alcohol can be injected subcutaneously under regional anesthesia. It should be noted that alcohol cannot be injected into the skin, otherwise it will cause skin necrosis. Subcutaneous injection of alcohol can completely relieve itching, but it cannot relieve the burning sensation of the vulvar skin.

4. Surgery

For patients with severe disease or those who are ineffective with drug treatment, superficial vulvar excision or laser excision can be performed. Laser excision can only remove epidermal lesions, but is ineffective for dermal lesions under the epidermis. Surgical excision has a high recurrence rate, not only at the excision edge, but even in transplanted skin. The disease has a very low chance of becoming malignant, so surgical treatment is rarely used.