How should vulvar leukoplakia be treated?

Patient's question:

I have been experiencing constant itching in my private area, and it has even been scratched open. It's both painful and itchy, making me feel extremely uncomfortable. It's also a bit pale. After examination, it was diagnosed as leukoplakia of the vulva. Please ask: How should leukoplakia of the vulva be treated?

Doctor's answer:

Hello, vulvar leukoplakia is also known as vulvar dystrophy. The main symptoms include vulvar itching, dyspareunia, and a burning sensation in the vulva. Specific methods for nursing and treatment can be adopted as follows.
First, it is important to maintain vulvar cleanliness and dryness. Avoid using irritating medications or soaps to wash the vulva, and do not wear non-breathable synthetic underwear. Also, avoid spicy and easily allergenic foods.
Second, you may choose to apply medication locally to the vulva. Currently, options such as testosterone propionate and progesterone are effective. For persistent itching that does not respond to topical treatment, triamcinolone acetonide suspension can be injected subcutaneously.
For severe cases or when medication is ineffective, vulvar magnetic resonance-guided focused ultrasound or superficial vulvectomy may be considered.

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