Patient's question:
Recently, I've been feeling itchy down there, and I even scratched it, which is very painful and uncomfortable. I went to the hospital for a check-up, and they said I have leukoplakia of the vulva. I'm really struggling with this. Could you please ask: How can leukoplakia of the vulva be treated effectively?Doctor's answer:
Relieve and eliminate triggers: For patients with diabetic trichomonal or candidal vaginitis, treatment should be administered. Avoid spicy foods, maintain external genital hygiene, prevent soap scrubbing, scratching, and the use of irritating medications. Multiple vitamins and sedative desensitizing agents can be taken.Local medication: The purpose is to reduce swelling, relieve pain, reduce inflammation, moisturize the skin, and stabilize local nutrition.
1. External washing medication: Chinese medicine decoctions such as Ilex crenata and Artemisia capillaris for washing or steaming.
2. For hypertrophic type: Apply 1%-2% propionate testosterone fish oil ointment (100-200 mg propionate testosterone mixed with 10-20 g of 20% fish oil ointment) externally 3-4 times daily. Alternate use for 2-3 months to thicken and soften the skin, loosen adhesions.
3. For fibrotic or mixed type: Dexamethasone or hydrocortisone ointment can be used. For mixed type, additional propionate testosterone fish oil ointment should be applied externally.