How should vulvar leukoplakia be treated effectively?

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? Please ask: If someone is prone to vulvar leukoplakia, how can it be treated better?

Doctor's answer:

Mostly seen in postmenopausal women, it primarily manifests as external itching, mainly affecting the labia majora, labial sulci, and posterior labial commissure. Treatment: Maintain cleanliness and dryness of the external genital skin at all times, discontinue the use of soap or other irritating medications for washing, prevent scratching with hands, avoid spicy or allergenic foods, wear loose and breathable clothing to prevent local moisture, etc. Medications can include hydrocortisone cream, triamcinolone acetonide cream, and hydrocortisone cream. For cases that do not respond to long-term treatment, surgery may be considered. Laser treatment can also be used. For the treatment of lichen sclerosus (based on atrophy and thinning of the skin of the external genitalia and perianal area).

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