What is vulvar leukoplakia?

Patient's question:

I've been feeling anxious and short of breath lately, with lower back pain, and I often get angry. My classmate came to my house to play, and I told him that I might be going through menopause again, as I'm experiencing symptoms similar to menopause. My friend said that I might not be going through menopause, as leukoplakia of the external genitalia is similar. What is leukoplakia of the external genitalia?

Doctor's answer:

The surface is rough, with cracks and ulcers. In some cases, the skin and mucous membranes become thin and lose elasticity, and the labia majora and minora become significantly enlarged or even disappear. Vulvar atrophy can sometimes also lead to labor difficulties. The vulva appears slightly swollen, and in severe cases, the clitoris, labia majora, and minora may atrophy, adhere together, and partially or completely disappear. The posterior commissure may tighten, the vaginal opening may become narrow and lose elasticity, and it may even affect urination and sexual activity. Vulvar leukoplakia is a very serious condition, and patients are advised to seek immediate treatment while paying attention to dietary issues, avoiding spicy and irritating foods to prevent worsening the condition.

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