Common treatments for vulvar leukoplakia

What are the common treatments for vulvar leukoplakia? I believe many people have this question. Vulvar leukoplakia, which is rarely known, has caused many patients a lot of suffering due to its itching, difficulty in curing, and possible canceration. However, if you choose the right treatment, you will find that vulvar leukoplakia is not that scary. Let's learn about the treatments for vulvar leukoplakia .

1. Hormone therapy is one of the treatment methods for vulvar leukoplakia. It mainly achieves the purpose of relieving itching and thinning the skin by anti-inflammatory, inhibiting connective tissue proliferation, 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.

2. Traditional Chinese medicine treatment mainly uses external application and flushing of traditional Chinese medicines that clear away heat and detoxify, dispel wind and dampness, and promote blood circulation and remove 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. Surgery is also the main treatment for vulvar leukoplakia. 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, scars are easily formed on the diseased vulva, leading to difficulty in sexual intercourse and a decrease 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 or malignant transformation who are ineffective with drug treatment.

4. Physical therapy (mainly cryotherapy, electrocautery, laser therapy and ultrasound therapy)

5. Cryotherapy is a local treatment using liquid nitrogen or liquid oxygen to destroy local lesion tissue. Blisters often occur in the lesion after treatment. This treatment has a good short-term effect, but the recurrence rate is relatively high, and the patient may also suffer from shock due to cold allergy. This is also a treatment 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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