Patient's question:
At first, I didn't feel anything uncomfortable, but recently, during intimacy with my husband, I found it very dry, and I often feel itchy externally. After checking, it was diagnosed as leukoplakia of the vulva. I'm not familiar with this condition. Could you please tell me how to treat leukoplakia of the vulva effectively?Doctor's answer:
Hello, for the treatment of vulvar leukoplakia, if it is not moderate or severe atypical fibrosis, 0.5-1% testosterone propionate ointment or 0.45% hydrocortisone ointment can be applied externally. Alternatively, prednisone acetate 5 mg mixed with 20 mL of 0.25% procaine can be used as a base isolation in the affected area, administered once a week, with 10 treatments constituting one course. Oral vitamin A, B, E, and Chinese herbal medicines such as honeysuckle, clematis, Sophora flavescens, Epimedium, Dendrobium candidum, and Trichosanthes kirilowii can be decocted for internal consumption and external washing, as well as acupoint laser irradiation. Cryotherapy can be used for moderate and severe atypical fibrosis, or for older patients who do not respond to the aforementioned treatments, surgical excision of the vulva may be considered.