Symptoms of leukoplakia in female vulva

Vulvar leukoplakia is a very common gynecological disease. Women with vulvar leukoplakia will feel that their vulva area is particularly itchy. This is the most obvious symptom and the first symptom to be discovered. It usually occurs in about two or three months, and some are even long-term. So what are the symptoms of vulvar leukoplakia in women?

Clinical manifestations and classification

The main symptom is severe itching of the vulva. The itching may last from 2 to 3 months from onset to treatment, or as long as 20 years. The severity of the itching is not affected by season or day or night. If accompanied by trichomoniasis or candidal vaginitis, there will be more secretions, and local burning and tingling are related to the damage or infection of the skin and mucous membranes caused by the itching. There are varying degrees of local hypopigmentation of the skin and mucous membranes, and there is often edema, chapped skin and scattered superficial ulcers.

1. Hyperplastic malnutrition generally occurs in women aged 30 to 60 years old. The main symptoms are unbearable itching of the vulva, which is aggravated by scratching. The range of lesions varies, mainly affecting the labia majora, interlabial groove, clitoral hood and posterior symphysis. They are mostly symmetrical. The affected skin is thickened like leather, with raised wrinkles, or scales and eczema-like changes. The surface color is mostly dark red or pink, mixed with clearly defined white patches, and generally without atrophy or adhesion.

2. Lichen sclerosus malnutrition can be seen at any age, but is more common in women around 40 years old. The main symptom is itching in the lesion area, but it is generally much milder than the proliferative lesions. In the late stage, sexual intercourse becomes difficult. The lesions involve the vulvar skin, mucous membranes and skin around the anus. In addition to the skin or mucous membranes turning white, thin, dry and easy to crack, they also lose elasticity. The clitoris is often atrophied and adhered to the foreskin, and the labia minora is flat and disappears. In the late stage, the skin is thin and wrinkled like cigarette paper, and the vaginal opening is contracted and narrow, only allowing fingertips to fit.

Young girls who suffer from this disease often feel discomfort in the vulva and perianal area after urinating or defecating, and keyhole-shaped, pearly yellow or white lesions appear in the vulva and perianal area. The lesions usually disappear on their own by the time they reach puberty.

3. Mixed malnutrition is mainly manifested as thin vulva whitish area adjacent to the area, or accompanied by focal skin thickening or protrusion within its range.

diagnosis

If the above symptoms and signs are present, diabetes and chronic inflammation caused by fungi should also be ruled out. For further diagnosis, a biopsy should be performed. The biopsy should be taken from the areas with cracks, ulcers, protrusions, nodules or roughness. Samples can also be taken from multiple points. To improve the accuracy of diagnosis, the lesion area can be first painted with 1% toluidine blue, and then scrubbed with acetic acid after it dries. Any area that does not discolor indicates the presence of naked nuclei, indicating that there is a high possibility of finding atypical hyperplasia or cancer in the biopsy at this location. If the lesion area is large, it should be treated for several days first, and then a biopsy can be taken after most of the skin lesions have healed.

This article explains to us in detail about female vulvar leukoplakia. Therefore, after suffering from vulvar leukoplakia, you must pay special attention to your hygiene during menstruation. You must keep your vulva clean. Do not use hot water to wash it, but warm water. You cannot take a bath in a tub.