Patient's question:
Lately, 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 effectively treated?Doctor's answer:
Hello: Effective Treatment for Vulvar Leukoplakia. Surgery Saves. Do not believe, vulvar leukoplakia has a 10%～15% malignant transformation rate, and surgery is often recommended. The recurrence rate after surgery is as high as 50%, and repeated surgery may also lead to complications. Postoperatively, the affected vulva is prone to form scars, making sexual intercourse difficult and reducing sexual quality. Hormone Therapy. Through anti-inflammatory effects, inhibiting fibrosis of connective tissues, and enhancing skin protein compression, it aims to reduce swelling and pain, as well as thin the skin. Corticosteroid ointments or creams are commonly used. Local application of androgens or progestogens is also possible. The treatment period is long, symptom control is poor, and relapse is easy after discontinuation. Additionally, it requires frequent repeated medication, which may affect patient compliance.