How to treat female vulvar leukoplakia

Vulvar leukoplakia is a common gynecological disease nowadays. The cause is still not particularly clear so far. It may be related to genetic autoimmunity, sex hormone deficiency or decreased sex hormone receptors. Usually this disease will cause pigmentation and degeneration of the vulvar skin and mucous membrane tissues. It is recommended to treat this disease as early as possible. If the condition worsens, it may affect your normal life in the future.

1. General treatment

Pay attention to keeping the vulva clean and dry. Do not use irritating drugs or soaps to clean the vulva. Avoid wearing non-breathable synthetic underwear and do not eat spicy or allergenic foods. For those with severe itching symptoms leading to insomnia, sedatives, sleeping pills and anti-allergic drugs can be added.

2. Medication

Commonly used drugs for vulvar lichen sclerosus include pyruvic acid ointment, compound vitamin A ointment and progesterone ointment. Alternatively, glucocorticoid ointments or immunotherapy may be used. Drugs can improve symptoms but cannot cure the disease, and long-term use is required. Lichen sclerosus in young girls may heal on its own by puberty, and pyruvate ointment is generally not used for treatment to avoid virilization. 1% hydrocortisone ointment or 0.3% progesterone ointment can be applied, which can relieve most symptoms, but long-term follow-up is required.

Vulvar squamous epithelial hyperplasia can be treated with topical corticosteroids to control pruritus. Treatment is effective for most patients, but long-term medication is required.

3. Physical therapy

Suitable for patients who are not responsive to drug treatment or whose condition is serious. Microwave therapy, carbon dioxide laser and helium-neon laser, Bohm light, high-frequency electric knife, local electrocautery therapy and liquid nitrogen local cryotherapy, etc.

If the above treatments are ineffective, it means that the patient's vulvar leukoplakia is already very serious, and therefore surgical treatment is necessary to cure it. Also, if vulvar squamous epithelial hyperplasia occurs, it may become malignant and surgical treatment is required. Therefore, everyone must pay more attention in daily care and try to achieve early detection and early treatment, so as to avoid a series of unnecessary things from happening.