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. What are the most commonly used treatments for vulvar leukoplakia?Doctor's answer:
Topical creams: They can provide short-term relief, but they only treat symptoms, not the root cause. Once the medication is stopped, the condition tends to recur repeatedly, potentially leading to drug resistance. It is difficult to achieve long-term recovery through surgery.Surgical excision: Vulvar leukoplakia is a precancerous condition that may progress to vulvar cancer, so surgical removal is often recommended for treatment. The drawback of this approach is the potential for psychological trauma, significant disruption of sexual activity post-surgery, and a high recurrence rate (over 80%).
Laser and electrocautery: The effectiveness of these treatments is unreliable, and they may only provide temporary relief. This is because the condition is caused by various factors leading to impaired blood supply to the vulva, resulting in local nutrient deficiency. Laser and electrocautery can temporarily alleviate nutrient loss, which may help reduce the symptoms.
It is recommended to mentally relax and reduce unnecessary stress and worries, building confidence in overcoming the disease.