Patient's question:
Recently, I've been feeling a bit itchy down there, and it seems the color is a bit off, a bit whitish. When I went to the hospital for a check-up, they said it's leukoplakia of the vulva. I'm asking: How can leukoplakia of the vulva be treated effectively?Doctor's answer:
For the treatment of vulvar leukoplakia, if not moderate or above atypical fibrosis, 0.5-1% testosterone propionate ointment or 0.45% hydrocortisone acetate ointment can be applied externally. Alternatively, 5 mg prednisone acetate mixed with 20 mL of 0.25% procaine can be used to isolate the base of the affected area once a week, with 10 treatments constituting one course. Oral vitamin A, B, and E should also be taken. Medicinal herbs such as honeysuckle, cinnabar, Sophora flavescens, Epimedium, dictamnus, covered seeds, and tribulus terrestris can be decocted for internal consumption and external washing, along with laser irradiation of acupoints. Cryotherapy can be used for moderate and severe atypical fibrosis, or for older patients who do not respond to the aforementioned treatments. Vulvar surgery may be considered. The recurrence of vulvar leukoplakia severely harms women's health. Patients must pay attention during treatment and avoid sexual activity. Personal hygiene should also be carefully maintained.