What should I do if I have eczema on my vulva?

In life, every woman should protect her private parts, because it is not only related to her own health, but also to whether the couple's life can proceed normally. However, since getting married, many women will encounter some gynecological diseases, which makes their lives a mess and they have to go to the hospital frequently. So, what should you do if you have vulvar eczema?

Isolate allergens and various adverse stimuli; treat chronic systemic diseases; keep the perineum clean and dry, and do not use irritating cleansers or creams; avoid eating irritating and allergenic foods; adjust the mental and psychological state.

1. Systemic medication

Intravenous or oral anti-allergic drugs, steroid hormones, and appropriate antibiotics when infection occurs.

2. Local treatment

(1) In the acute phase, calamine lotion, boric acid solution, potassium permanganate solution, zinc oxide oil, etc. may be used as appropriate.

(2) Various types of cortisol creams can be used in the subacute phase.

(3) In the chronic stage, cortisol, antipruritic agents, flufenamic acid butyl ointment, etc. can be used. Cryosurgery, radioactive isotopes, superficial X-ray treatment, etc. can also be used.

3. Treatment with Traditional Chinese Medicine and Integrated Traditional Chinese and Western Medicine

Traditional Chinese medicine dialectical treatment and integrated Chinese and Western medicine treatment can also have good therapeutic effects.

Clinical manifestations

Vulvar eczema can affect the vulva and surrounding skin, with symptoms including severe itching.

1. Acute phase

Erythema, edema, papules, and blisters gather in groups. Blisters may fuse, rupture, erode, exude, and form crusts. The lesions are often symmetrically distributed, relatively localized and recurrent.

2. Subacute phase

Erosion and exudation decrease, and scabs and desquamation appear.

3. Chronic stage

After the acute stage, the inflammatory response becomes milder, manifested as skin thickening, cracking, desquamation, and accompanied by pigmentation or hypopigmentation.

diagnosis

A preliminary diagnosis can be made based on clinical manifestations, and a definitive diagnosis can be made based on histopathological examination.

Differential Diagnosis

It needs to be differentiated from contact dermatitis, neurodermatitis and psoriasis.