What are the treatment methods for leukoplakia of the vulva?

Patient's question:

Problem Description: Vulvar leukoplakia, labia minora, clitoral atrophy

Doctor's answer:

Since vulvar leukoplakia is a result of long-term pathological evolution, it requires long-term treatment. Vulvar leukoplakia can be treated with medication. First, a pH 4 weak acid-formulated feminine care liquid is used to clean the vulva, followed by the topical application of hormone drugs, injection of anaerobic rods, and other treatments. In traditional Chinese medicine, the main approach is to regulate the liver, clear heat, replenish essence and qi, activate blood circulation, and remove blood stasis, with medication tailored to the specific symptoms.
For physical therapy of vulvar leukoplakia, methods include microwave therapy, high-frequency electrocautery, carbon dioxide laser, helium-neon laser, BOM light, local cryotherapy with liquid nitrogen, and local electrocautery. These methods work by gradually stimulating the vulvar skin, promoting improved blood circulation in the vulva, and accelerating the synthesis of pigmentation in vulvar skin, thereby achieving the effect of reducing vulvar leukoplakia.