Only long-term treatment can cure vulvar leukoplakia

Patients with vulvar leukoplakia often present with extreme itching of the vulva, sometimes with burning and pain. The skin of the affected area is rough, thickened like moss, and has scratches. Patients often scratch involuntarily due to itching, which leads to chapped skin and ulcers in the affected area. The affected area has local hypopigmentation, and the labia majora and labia minora generally turn white.

The patient's vulva may show mild atrophy. In severe cases, the clitoris, labia majora and minora may atrophy and become adhered, and the labia minora may partially or completely disappear. The labia minora may then tighten, and the vaginal opening may become narrow and lose its elasticity, which may even affect urination and sexual life.

The course of vulvar leukoplakia is long, usually lasting for several months or even 20 years. The itching occurs regardless of season and day or night, which makes it unbearable for patients. If accompanied by trichomonas vaginitis or candidal vaginitis, the itching will be more severe. Since vulvar leukoplakia is generally stubborn, long-term treatment is required.

For drug treatment, you can take vitamin drugs. If the vulvar itching is severe and affects sleep, you can take some sedatives appropriately. You can apply 1% hydrocortisone and 1% to 2% testosterone ointment topically. This treatment can be continued for 6 to 8 weeks, 3 to 4 times a day.

While adhering to long-term treatment, patients should keep their vulva clean and dry, avoid wearing tight underwear, avoid wearing synthetic underwear with poor permeability, and eat less food that is prone to allergies.