How should vulvar leukoplakia be treated!

Patient's question:

Vaginal leukoplakia for a year, very painful. Tried all the medications and treatments, is there any good method for treatment? Currently unable to have intercourse, itchy severely at the vulva at night.
Past treatment history and effectiveness: None.
Kind of help desired: Any good methods to help me alleviate the pain? Urgent.

Doctor's answer:

Vulvar white lesions, also known as chronic vulvar dystrophy, refer to a group of diseases characterized by nutritional disorders of the vulvar skin and mucosa, leading to tissue degeneration and changes in pigmentation. There are generally two types: fibrotic dystrophy and lichen sclerosus dystrophy. In severe cases, the clitoris, labia majora, and labia minora may atrophy, adhere together, partially or completely disappear, the posterior may tighten, the vaginal opening may become narrow, and elasticity may be lost, even affecting urination and sexual activity. This condition is treatable, and the general treatment method involves medication combined with physical therapy, which yields relatively ideal results.

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