What are the symptoms of vulvar leukoplakia?

What are the symptoms of vulvar leukoplakia? Many people will ask this question. In fact, vulvar leukoplakia is divided into hyperplastic vulvar leukoplakia, atrophic vulvar leukoplakia, and mixed vulvar leukoplakia. Different types of vulvar leukoplakia have different symptoms.

What are the symptoms of vulvar leukoplakia? Different types of vulvar leukoplakia have different symptoms.

1. The typical symptoms of hyperplastic vulvar leukoplakia at all stages mostly occur in women aged 50 to 60 years old. The main symptom is unbearable itching of the vulva. The lesions spread to the labia majora, the groove between the labia, and the clitoris, and are often symmetrical and thick like leather. Generally, there is no atrophy or adhesion, and the color of the vulva is mostly dark red or pink.

Stage I hyperplastic type: The main symptom is vulvar itching. Some patients experience severe itching, which worsens at night. Scratching often causes redness, swelling, and ulceration, and may cause discomfort such as burning.

Stage II hyperplastic type: Based on the symptoms of stage I, keratinization and hyperplasia appear in the affected area, and mild hypopigmentation appears locally on the vulvar skin (usually on the inner side of the labia majora and minora), in the form of dots or small white papules, with a frosty white surface.

Stage III hyperplastic type: severe hyperplasia of skin keratinization, repeated shedding of the keratin layer, or redness, swelling, edema, cracking, ulceration and erosion of the vulva caused by scratching. There may be itching accompanied by pain. Patients feel that the symptoms are severe, but the treatment effect of this type of patients is rapid. Within one course of treatment, the symptoms of about 85% of patients are basically eliminated.

2. Symptoms of atrophic vulvar leukoplakia The typical symptoms of each stage can occur at any age. But it is more common in women around 40 years old. The main symptom is itching in the lesion area, which is milder than the hyperplastic lesions. The lesions often involve the skin and mucous membranes around the vulva. The clitoral foreskin, labia minora, and posterior symphysis are common lesion sites. In addition to the skin and mucous membranes turning white, dry and prone to cracking, and losing elasticity, the clitoris is often atrophied and adhered to the foreskin, the labia minora disappears, and in the late stage, the vaginal opening is contracted and narrowed, only the fingertips can fit.

Stage I atrophic type: The main symptoms are not obvious. Some patients have mild itching. No white lesions appear, and the vulva has atrophy that is not easily visible to the naked eye.

Stage II atrophy: Typical symptoms are mild visible atrophy of the vulva, usually starting from the labia majora, minora, and clitoris. The labia majora and minora have reduced elasticity, and the surface wrinkles are reduced or absent. Vulvar itching is relatively mild. Due to atrophy, there may be dryness of the vulva and discomfort during sexual intercourse. Localized hypopigmentation of the vulvar skin occurs in multiple spots or flakes.

Stage III atrophic type: severe symptoms. The labia majora of the vulva are flat, the labia minora disappear, and the clitoris shrinks and becomes smaller or adheres. The urethral opening atrophies, and in severe cases, urinary incontinence occurs. The vaginal opening atrophies, and sexual intercourse becomes difficult. Some patients also have anal leukoplakia and atrophy, causing the skin around the anus to have no wrinkles, reduced elasticity, and anal fissures during defecation. About 50% of patients have large areas of hypopigmentation on the vulvar skin.

3. Symptoms of mixed vulvar leukoplakia include thickening or bulging of the skin adjacent to the whitened area of ​​the vulva. Only 5% to 10% of hyperplastic and mixed lesions may show atypical hyperplasia. The final diagnosis of mixed vulvar leukoplakia depends on local biopsy. Before the biopsy, routine examinations of urine and leucorrhea, as well as diabetes and blood sugar tests are performed.

When patients with hyperplastic and atrophic types of vulvar leukoplakia progress to the late stage II to stage III, they generally develop mixed symptoms of the two types.

The above is what the experts have introduced about the symptoms of vulvar leukoplakia. If you find that you are feeling unwell, you must go to the hospital for a comprehensive examination to find out the disease, distinguish the type, and get treatment as soon as possible to restore your health. If you still have any questions, please feel free to consult an expert online.

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