Several common treatment methods for vulvar leukoplakia

What are the common treatments for vulvar leukoplakia ? Vulvar leukoplakia is also known as female vulvar leukoplakia. It refers to 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, but rarely invade the urethral opening and vestibule.

1. Drug treatment (including hormone and Chinese medicine treatment). Hormone treatment mainly achieves the purpose of relieving itching and thinning the skin by anti-inflammatory, inhibiting connective tissue hyperplasia, and strengthening skin protein decomposition. Commonly used are glucocorticoid ointments or creams, such as betamethasone cream, triamcinolone ointment, hydrocortisone ointment, etc. Androgens or progestins can also be applied topically. Hormone treatment lasts for a long time, symptom control is poor, and it is easy to relapse after stopping the drug. It also requires frequent and repeated medication, and patient compliance is poor. This is one of the treatment methods for vulvar leukoplakia.

2. Treatment with traditional Chinese medicine. It mainly uses traditional Chinese medicine for external application and flushing, such as clearing away heat and detoxification, removing wind and dampness, and promoting blood circulation and removing blood stasis. There are many reports on this treatment, but there is still a lack of objective evaluation indicators and long-term follow-up, and the efficacy reports are inconsistent.

3. Surgical treatment. In the past, it was believed that vulvar leukoplakia had a 10% to 15% malignant transformation rate, and surgical excision was often recommended. However, the postoperative recurrence rate is as high as 50%, and reoperation may also cause recurrence. After surgery, the diseased vulva is prone to scarring, leading to sexual intercourse difficulties and a decline in the quality of sexual life. Recent studies have also found that the canceration rate of the disease is actually less than 5%, so surgical treatment is not recommended to expand the scope. It is recommended that surgery be limited to patients with severe conditions, atypical hyperplasia that is ineffective for drug treatment, or patients with the possibility of malignant transformation. This is also the treatment method for vulvar leukoplakia.

The above is an introduction to the treatment methods of vulvar leukoplakia. I hope the above content can be helpful to you. If you have any questions about vulvar leukoplakia, you can contact our online experts and they will give you detailed answers.

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