How is vulvar leukoplakia treated in young girls?

Patient's question:

Gender: Female
Age: 21
Itching, about 4 years, used to scratch.
Previous treatment history and effectiveness: The condition worsens as soon as the medication is stopped.

Doctor's answer:

Vaginal leukoplakia is generally accompanied by severe itching, which can last for months or even 20 years. This itching is persistent regardless of season or time of day, making it extremely unbearable. If it is accompanied by trichomoniasis or candidiasis, the itching will intensify continuously. Due to the unclear cause, there is currently no specific treatment. Laser therapy can be tested, or a 2% hydrocortisone ointment can be used to reduce swelling and relieve pain, or a 2% testosterone propionate cod liver oil ointment can be applied. It is important to maintain cleanliness and dryness, avoid using soap or irritating medications to wash the external genitalia, and refrain from consuming spicy or irritating foods. Clothing should be loose-fitting, and laundry should be changed frequently. At the same time, it is important to wear soft cotton products.

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