Why does vulvar leukoplakia cause small cracks in the anus?

Patient's question:

Approximately two months ago, I began to notice the symptoms of vulvar itching again. There were white patches on my vulvar opening. In the past few days, I noticed small cracks near my anus reappearing. During bowel movements, blood would seep from these cracks. Why would the vulvar leukoplakia lead to the recurrence of small cracks near the anus?

Doctor's answer:

Vaginal leukoplakia is a diffuse or localized patch on the skin of the female genital area that can spread to the inner sides of both lower legs, perineum, and anal area. The appearance of small fissures near the anus should be considered a manifestation of recurrent psoriasiform changes. You need to actively seek treatment intervention to prevent the symptoms from worsening further. Treatment can be done through laser therapy or topical creams, and in severe cases, surgical excision may be necessary. Vaginal leukoplakia is an easily recurring gynecological disease. During treatment, women should pay attention to their own care. It is recommended to maintain cleanliness of the external genitalia and change underwear frequently.

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