How to treat vulvar leukoplakia better

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting my fertility, and I'm also extremely sensitive to cold and coldness. How is vulvar leukoplakia treated? Can it be relieved?

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, use 5 mg of prednisone acetate mixed with 20 mL of 0.25% procaine 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, 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.

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