Patient's question:
A few days ago, while I was taking a bath and washing my private area, I noticed a white patch in the middle of my pubic hair. However, I didn't feel any discomfort—it didn't hurt or itch, and everything else, like discharge, was normal. I have no idea how this patch could have appeared.Doctor's answer:
Traditional Chinese Medicine suggests that the condition is often caused by damp-heat in the liver meridian descending to invade the external genitalia, or by blood deficiency leading to liver hyperactivity, yin deficiency in the liver and kidneys, or kidney yang deficiency, all of which result in insufficient nourishment of the external genitalia. Medicinal treatment can involve taking vitamin supplements. If the itching of the external genitalia is severe and interferes with deep sleep, appropriate sedatives can be taken. Locally, 1% hydrocortisone and 1-2% testosterone cream can be applied. This treatment can be tolerated for 6-8 weeks, applied 3-4 times daily. During long-term treatment, it is essential to maintain cleanliness and dryness of the external genitalia, avoid wearing tight underwear, avoid synthetic underwear with poor breathability, and reduce the intake of easily allergenic foods. In addition to symptomatic treatment for leukoplakia of the external genitalia, patients also need to pay attention to nursing care.