How to treat vulvar leukoplakia? Gynecologist introduces the method!

White spots can appear on various parts of the human body, such as the female vulva. Because this part is very sensitive, the treatment method must be reasonable. In addition to paying attention to personal hygiene, you can use medication reasonably under the doctor's advice. You can also adopt some physical therapy methods, such as laser therapy, microwave therapy, 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 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.

5. Stay optimistic

In daily life, attention should be paid to regulating life stress and emotions, and patients should remain optimistic and cheerful. The patient's family, especially the husband, should help the patient build confidence in overcoming the disease.

6. Actively treat chronic diseases

Patients with vulvar leukoplakia should also actively treat chronic diseases such as diabetes, endocrine diseases and immune system diseases. Actively treat vaginitis, vulvitis and various diseases that cause increased vaginal discharge.

7. How to clean the vulva

Some women are too clean and have the habit of washing their vulva once or several times a day. In fact, the female vulva has a self-cleaning function and it is usually washed 2 to 3 times a week. Do not use any detergent when washing, because detergents are generally alkaline. Just use warm water to wash, and be careful not to use too hot water.

8. Choose cotton underwear

Patients should wear loose, breathable underwear in their daily lives, mainly made of pure cotton, and avoid wearing underwear made of chemical fibers such as acrylic.