Is vulvar leukoplakia a problem?

Patient's question:

I have severe gynecological problems, but there are many white spots on my vulva. In the morning, the spots are very severe, but at night, there is not much pain. I dare not have sex with my husband because I'm afraid it will seriously affect him. How should I treat it.

Doctor's answer:

Medication can be taken to alleviate symptoms. If the itching of the vulva 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, with 3-4 applications per day. While undergoing long-term treatment, it is essential to maintain vulvar cleanliness and dryness, avoid tight underwear, and avoid wearing non-breathable synthetic underwear. Eating fewer allergenic foods is also necessary. Vulvar leukoplakia is a condition that is difficult to recover from. Patients should always maintain a positive attitude and face it with optimism. Only in this way can they boost their confidence in combating vulvar leukoplakia and believe that recovery is certain.

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