What are the clinical manifestations of vulvar leukoplakia

There are many kinds of gynecological diseases, and vulvar leukoplakia is one of them. Vulvar leukoplakia brings great harm to patients. In order to reduce the incidence of vulvar leukoplakia, we should first master the clinical manifestations of vulvar leukoplakia. So what are the clinical manifestations of vulvar leukoplakia? Next, we ask experts to introduce you to the clinical manifestations of vulvar leukoplakia.

The clinical manifestations of vulvar leukoplakia are as follows:

1. Symptoms of lichen sclerosus vulvar leukoplakia

The vulva has varying degrees of itching or severe itching, and has varying degrees of hardening, whitening, cracking, and atrophy. In the early stage, the vulva has white, small white rashes of varying sizes, itching, and severe cracking and itching; in severe cases, white flakes fall off, itching intensifies, itching is unbearable, and the patient cannot sleep at night. The vulva gradually shrinks, hardens, and becomes leathery and uneven; in the late stage, it becomes dry and cracked, it itches unbearably, and the vulva becomes like old bark, dry, and cracked, making it impossible for the patient to survive.

2. Symptoms of atrophic vulvar leukoplakia at different stages

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 pruritus 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 each stage of hyperplastic vulvar leukoplakia

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 burning and other discomfort.

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 scratching causing vulvar irritation, edema, fissures, ulceration and erosion. There may be itching accompanied by pain. Patients feel that the symptoms are severe, but this type of patient has a rapid treatment effect. Within one course of treatment, about 85% of patients have basically eliminated their symptoms.

4. Symptoms of mixed vulvar leukoplakia

Of the three types above, patients with two of the three types are called mixed type. Regardless of the type, patients have varying degrees of dry hair, gray hair, pubic hair loss, dry skin, pigmentation on the face or hands, early appearance of age spots, irritability, dry mouth, dry stool, insomnia, decreased libido or no libido, and in severe cases, pain and fissures during sexual intercourse.

The above are the clinical manifestations of vulvar leukoplakia introduced by experts. Everyone should understand that if any of the above symptoms occur, you must seek timely treatment to avoid worsening of the disease and bringing more serious consequences to yourself. If you have any questions about vulvar leukoplakia, please consult our online experts to answer your questions.

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