Patient's question:
The diagnostic criteria for vulvar leukoplakia are what? I discovered that my private area had become very rough while taking a bath, and recently I've been feeling itchy all the time, especially when I'm at work, it's really embarrassing. Is my condition vulvar leukoplakia? Is this a big problem?Doctor's answer:
Mostly seen in postmenopausal women, it primarily manifests as external itching, mainly affecting the labia majora, interlabial sulcus, 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 drugs for washing, prevent scratching with hands, avoid spicy or allergenic foods, wear loose and breathable clothing to prevent local dampness, etc. Medications 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 region), apply a 2% preparation of testosterone propionate in petroleum jelly ointment to the affected area locally, or use 100 mg of progesterone oil mixed with 30 grams of petroleum jelly ointment for local application.