How to deal with vulvar leukoplakia?

When white spots are found on the vulva, patients should pay attention to understanding the correct coping methods. First of all, they should pay attention to understanding the cause of the disease, do a good job of preventing reproductive diseases in life, eat less spicy and irritating foods, and use some anti-inflammatory and antipruritic moisturizers locally.

1. Eliminate the causes: Patients with diabetes, trichomonas or candidal vaginitis should receive treatment, eat less spicy food, keep the vulva clean, avoid soap scrubbing, scratching and the use of irritating drugs, and take multivitamins, sedatives and desensitizers.

(ii) Local medication: for the purpose of relieving itching, reducing inflammation, moisturizing and improving local nutrition.

1. External washing medicine: Chinese medicine Sophora flavescens and Artemisia capillaris wash or other Chinese medicine decoction for fumigation and washing.

2. For atrophic type: Apply 1%~2% testosterone propionate cod liver oil ointment (100~200mg of testosterone propionate added to 10~20g of 20% cod liver oil ointment) externally, 3~4 times/day, for 2~3 months. It can make the skin thicker and softer and loosen adhesions.

3. For hyperplastic and mixed types, dexamethasone and hydrocortisone ointment can be used. For mixed types, testosterone propionate and cod liver oil ointment should also be applied externally.

(3) Acupuncture and acupoint injection can be tried.

(iv) Laser treatment: Laser treatment of lichen sclerosus malnutrition has the effect of relieving itching, promoting wound healing and improving local blood circulation.

(V) Surgical treatment: For moderate to severe atypical hyperplasia, or ulcers and fissures that have not healed after non-surgical treatment for a long time, simple vulvectomy can be considered.