Symptoms and medication of vulvar leukoplakia

If white spots appear on the vulva, everyone needs to pay attention, because the genitals are also a place where bacteria can easily accumulate. If white spots appear and the cause is not found and treated, it is easy to cause damage to the skin of the vulva. The main symptom of vulvar leukoplakia is the lightening of the skin color of the vulva, and the medication needs to be used according to the disease.

Clinical symptoms

This disease can occur at any age, and has been reported in various stages of women's lives: childhood, adolescence, menopause and old age, but most cases occur in menopause around the age of 50. The course of the disease varies, and can last for decades in the elderly. The most common sites are the clitoris, labia minora and the inner grooves of the labia majora. Sometimes it occurs in the vestibule, vagina, urethral orifice, posterior symphysis, etc., and is often symmetrical.

Vulvar itching is the first prominent symptom felt by patients, especially at night. The degree of itching is related to time, menstruation, climate, food, environment, and mood. Itching usually occurs intermittently, and patients often scratch because of the itching. Due to scratching, the external vagina has multiple scratches, redness and swelling. As a result of long-term itching, local ulcers, fissures, ulcers and secondary infections occur. Therefore, patients often experience local burning pain, especially in the sensitive clitoris and labia minora. In the early stage, the replaced part is hyperkeratotic and infiltrates the fat skin. The vulvar skin and mucosa may show localized or diffuse white thickening, leathery, raised and wrinkled, or scaly and eczematous changes. The skin color of the vulva is mostly purple or light red, but can also be grayish white, grayish blue, mixed with clearly defined white keratinized plaques of varying shapes and sizes. It is a mixed malnutrition with mixed symptoms of atrophic and hyperplastic types, manifested by obvious atrophy of the vulva, hypertrophy of the clitoral hood, obvious keratinization, coarse lines on the labia majora, hypopigmentation, and localized thickening and ulcers. The skin of the affected area is rough, lichenified, scratched, and sometimes cracked. There is local hypopigmentation, and the labia majora and labia minora generally turn white. Mild atrophy may be seen on the vulva. In severe cases, the clitoris, labia majora and minora may atrophy and become adherent, 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, even affecting urination and sexual life. Systemic disease factors such as diabetes, jaundice, autoimmune diseases and metabolic dysfunction diseases. Local factors, mainly chronic irritation of the vulva such as moisture, inflammation, allergies to chemical fiber or contaminated underwear, etc.

Treatment

Vulvar leukoplakia refers to localized or diffuse white patches that appear on the skin of women's genitals. They can spread to the inner sides of the lower limbs, perineum and anus, but rarely invade the urethral opening and vestibule. The clinical characteristics of this disease are: extreme itching of the vulva, sometimes with burning and pain. The skin of the affected area is rough, lichenified, scratched, and sometimes cracked and ulcerated. It directly affects urination and sexual life, and the pain is beyond words. The traditional treatments for this disease are as follows:

1. Drug treatment : After the vulva is cleaned with Ph4 weak acid formula female care solution, hormone drugs are applied locally, anaerobic bacteria are injected locally, and traditional Chinese medicine treatment is used.

2. Physical therapy : microwave therapy, carbon dioxide laser and helium-neon laser, Bohm light, high-frequency electric knife, local electrocautery therapy and liquid nitrogen local cryotherapy, etc.

3. Surgical treatment : simple vulvectomy, vulvectomy combined with skin grafting.

4. Traditional Chinese Medicine Treatment : Traditional Chinese Medicine conditioning and balanced nutrition penetration therapy is used for treatment. It has no side effects, concentrated effects, strong targeting, is rich in a variety of active factors and repair factors, and has unique high-intensity penetration. It can quickly penetrate into the diseased tissue in the body. The powerful energy at the penetration site can instantly cause irreversible coagulative necrosis of the diseased tissue, while the surrounding tissue will not be damaged. It will not affect future fertility and will not delay study and work, creating an innovative clinical effect of "only removing lesions without damaging tissues".

General treatment

"Vulvar leukoplakia" must be treated long-term. Some of the skin in the affected area becomes thicker and leathery; some becomes thinner, dry and easily cracked, and even ulcers and nodules may occur. If the vulva skin turns white, you should go to the hospital for examination regardless of whether it is itchy or not. You should be more vigilant if the skin is thickened, rough, raised, ulcerated, cracked, or indurated, and surgical treatment can be performed if necessary. Vulvar leukoplakia develops slowly, and in the past, surgical excision was mostly used to treat the chance of cancer, but surgical treatment is no longer recommended. In the late stage, the vaginal opening may contract and narrow, the vulva and clitoris will atrophy, and the surrounding tissues will lose elasticity. Since "white lesions of the vulva" are relatively stubborn, long-term treatment and regular follow-up are necessary. The best follow-up time is 3 to 6 months, and generally satisfactory results can be achieved after persistent treatment.