What are the treatment methods for vulvar leukoplakia

What is vulvar leukoplakia? How much do you know about this? Let’s take a look at it below. Vulvar white lesions, also known as vulvar white lesions, vulvar leukoplakia or vulvar dystrophy, were previously considered to be vascular malnutrition. However, with further understanding of the disease, the above changes were not found. Instead, it was a lesion in which the vulvar skin and mucosal tissues underwent pigment changes and degeneration. The details are mentioned below.

Because the vulvar skin and mucosa of patients with lichen sclerosus and squamous cell hyperplasia are mostly white, it is called vulvar white lesions, which belong to non-neoplastic changes in the vulvar epithelium. Lichen sclerosus and squamous cell hyperplasia have changed their names several times in different eras due to different clinical and pathological understandings. They were originally called vulvar leukoplakia, leukoplakia vulvitis, vulvar xeroderma, hyperplastic or atrophic vulvitis, neurodermatitis, lichen sclerosus and atrophic, etc.

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.

The above introduces several simple treatment methods, I hope they can be of some help to you. In fact, vulvar leukoplakia is not a terrible disease, so we don’t need to worry too much about it. However, we should not be careless and should always pay attention to our physical condition. The methods mentioned above include physical and medicinal ones, and you can choose according to your specific situation.