How to treat genital eczema?

Vulvar eczema is a common disease, and once the vulva and the skin are eczematous, it often makes people feel extremely painful. This kind of allergic disease often makes people feel embarrassed. Because it often occurs in private places, people are too embarrassed to see it, which leads to it becoming more and more serious. How to treat genital eczema?

1. General treatment: Trace the cause of the disease as much as possible, isolate allergens and various adverse stimuli. Treat chronic systemic diseases such as indigestion, intestinal parasites, diabetes, mental and neurological disorders, etc. Keep the perineum clean and dry, do not use soap to clean skin lesions, and do not apply irritating antipruritic drugs. Avoid allergenic foods such as various foreign proteins, do not drink alcohol or eat spicy foods, etc. Avoid overwork and mental stress.

2. Local treatment

(1) Acute phase: local treatment is the main approach. In the acute phase, use cold, wet compresses with saline. Apply zinc oxide ointment when erythema, blisters, and exudation are not obvious. When there is no exudate or pustules, 1% phenol-containing glycerin lotion can be used for external washing. When there is obvious exudation, 3% boric acid solution and 1:8000-1:5000 potassium manganate solution can be used for cold wet compresses. If erosion occurs, it is advisable to use anti-inflammatory treatment and compound copper sulfate solution for external washing to prevent corrosion and astringency. In case of secondary bacterial and fungal infection, corresponding antibacterial and antifungal ointments can be used, such as 0.5% neomycin ointment, 2% oxytetracycline and zinc oxide ointment, and 0.1% ethacridine (Rivanol) solution for wet compress. In addition to wet compress during the scab period, triamcinolone acetate (triamcinolone) cream, fluocinolone acetonide cream, etc. can be applied to astringe and relieve itching and keep dry.

(2) In the subacute stage of eczema, when the skin is mildly infiltrated, crusted, or desquamated, pastes or creams may be used. Various types of corticosteroid creams may also be used.

(3) Chronic stage: The treatment principles for chronic eczema are to relieve itching, inhibit epidermal cell proliferation, and promote absorption of dermal inflammation. When the skin is thickened and infiltrated, apply flufenamic acid (flufenamic acid butyl ointment, Bute); you can also use 5% to 10% compound pine oil ointment, 2% borneol and corticosteroid ointment. Chronic and refractory cases can be treated with cryotherapy, radionuclide (32p) application, or superficial X-ray irradiation. If necessary, topical application of corticosteroids such as triamcinolone acetonide (triamcinolone) and urea ointment can increase the efficacy.

Warm reminder: As a notorious inflammatory vulvar skin disease, patients often have to endure a significant tendency to exudation. Aggressive treatment is required. At this time, the patient needs to stay away from irritating foods, and the patient often has recurring symptoms and needs active treatment. And you can have sex only after your condition improves and you recover.