Patient's question:
When taking a shower, I noticed that my private area had become very rough, and lately, I've been feeling itchy all the time. Especially during work, it's really embarrassing. Is this condition vulvar leukoplakia? Could you please tell me how vulvar leukoplakia is generally treated?Doctor's answer:
For the treatment of vulvar leukoplakia, if not moderate or severe 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, E, and Chinese herbal medicines such as honeysuckle, clematis, Sophora flavescens, Epimedium, dictamnus, and tribulus terrestris can be decocted for internal consumption and external washing, along with acupoint laser irradiation. For moderate and severe atypical fibrosis or in older patients who do not respond to the aforementioned treatments, vulvar surgical excision may be considered.