How to treat early stage vulvar leukoplakia

Vulvar leukoplakia is a disease that many women suffer from. This disease has a relatively large impact on the patient's health. If not treated in time, it will have a relatively large impact on women. There are many ways to treat vulvar leukoplakia. Generally speaking, they can be divided into four types: general treatment, drug treatment, physical therapy and surgical treatment. Below, I will introduce the treatment methods of vulvar leukoplakia in detail.

1. General treatment

The exact cause of white lesions of the vulva is unknown. It may be related to the following factors: genes, autoimmunity, sex hormone deficiency or decreased sex hormone receptors, etc. Vulvar squamous epithelial hyperplasia may be related to vulvar moisture and long-term stimulation by secretions, leading to vulvar itching and repeated scratching.

It is necessary to keep 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 ineffective with 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.