Patient's question:
White patches appear in the private area with symmetrical distribution, and visible atrophy occurs. Itching intensifies at night. What are the key points for treating leukoplakia of the vulva?Doctor's answer:
Vaginal leukoplakia is caused by epidermal thickening due to inflammation, loss of pigment in the basal epidermal layer, and increased superficial dermal blood vessels, leading to the fading or whitening of the vaginal skin or mucosa. Since "vaginal leukoplakia" is a stubborn condition, it is necessary to adhere to long-term treatment and follow-up regularly. The follow-up interval is best set at 3 to 6 months. With persistent treatment, a relatively satisfactory outcome can generally be achieved. Medication can include vitamin supplements. If vaginal itching is severe and affects deep sleep, appropriate sedatives can be taken. Locally, 1% hydrocortisone and 1–2% testosterone ointment can be applied. This treatment can be maintained for 6–8 weeks, with 3–4 applications per day.