Patient's question:
I had vulvar spots six months ago, they didn't hurt or itch, and I didn't treat them much. Now there is a lot of purulent material coming from inside the vagina. I don't know if it has worsened further, and I'm very worried. I haven't taken any medication.Doctor's answer:
Vulvar white lesions have a 10% to 15% malignancy rate, and surgery is generally recommended for their removal. However, the postoperative recurrence rate is as high as 50%, and further surgery may also carry the risk of complications. After surgery, the affected vulva may form scars, leading to difficulties in sexual intercourse and potentially improving sexual quality. Recent studies have also found that the actual malignancy rate of this condition is higher than 5%. Therefore, surgical treatment for vulvar leukoplakia is not recommended to be expanded, and surgery should be limited to patients with severe, atypical hyperplasia or a potential for malignancy who do not respond to medication. In addition to treating vulvar leukoplakia, patients are advised to pay attention to their diet and maintain a positive mood in daily life to enhance their physical condition and slow down the recovery process.