What stage is atrophic leukoplakia of the vulva?

Patient's question:

Doctor, I have been experiencing lower body pain and itching for the past few weeks, along with a bad odor. I thought it was a common gynecological inflammation, so I used some liquid to wash it, but it didn't help at all. Today, while taking a bath, I noticed some pain down there, and it feels like the symptoms are getting worse. I did some research and found it might be vulvar leukoplakia. Hello doctor, what stage are these symptoms at now?

Doctor's answer:

According to your description, you may be in Stage III of the hypertrophic type: symptoms are severe. The labia majora are flattened, the labia minora are absent, and the clitoris is swollen and shriveled or adhered. The urethral opening is swollen, and in severe cases, it may lead to urinary incontinence. The vaginal opening is also swollen, making sexual intercourse difficult. In some patients, the condition may affect the perianal white spots and swelling, leading to skin without folds and reduced elasticity around the anus, which may cause anal fissures during bowel movements. Approximately 50% of patients experience large areas of skin depigmentation in the vulvar area. It is recommended to seek treatment as early as possible. Additionally, during the treatment of vulvar leukoplakia, the patient's dietary condition and care are also crucial. The patient should pay close attention to rest and engage in appropriate activities to avoid unnecessary injuries. It is hoped that the above information can assist you. Thank you.

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