What are the treatments for vulvar leukoplakia?

Vulvar leukoplakia is generally caused by gynecological problems in the patient, severe endocrine disorders, or infection by bacteria and lack of nutrition. Vulvar leukoplakia is not a difficult gynecological disease to treat, but the treatment time is relatively long and the course of the disease is also relatively long. This requires the patient to cooperate with the treatment patiently. Now let’s talk about some treatments for vulvar leukoplakia.

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.

4. Surgery

Surgical treatment is only suitable for patients with severe conditions and those who have failed to respond to repeated medication or physical therapy. Surgery is required when vulvar squamous hyperplasia is suspected to be malignant.

From this we can see that it is best for women not to go to swimming pools or bathhouses too often. You must pay attention to personal hygiene at ordinary times, wash and change your underwear frequently, and it is best to wear it after being exposed to the sun. Or you can use boiling water, which is generally for patients with gynecological inflammation. It is best not to use sanitary pads during non-menstrual period