How to treat vulvar leukoplakia appropriately in its early stage?

Patient's question:

Best treatment for vulvar leukoplakia?

Doctor's answer:

Vaginal leukoplakia refers to localized or diffuse white patches on the skin of the female genital area. Some patients may experience symptoms such as itching, atrophy of the external genitalia, and reduced elasticity of the labia. For the treatment of leukoplakia, it is recommended to follow medical advice and apply testosterone propionate ointment or hydrocortisone ointment externally. Alternatively, prednisone acetate and procaine can be used to isolate the base of the affected area. Oral vitamin A, B, and E supplements may also be prescribed. Traditional Chinese medicine treatments include herbs such as honeysuckle, cinnabar, Sophora flavescens, Epimedium, white peony root, and white thorn, which can be decocted for internal consumption and external washing. For older patients who do not respond to the aforementioned treatments, surgical excision of the affected area may be considered.

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