What are the good treatments for leukoplakia of the vulva?

Patient's question:

I have been dealing with leukoplakia for several years, but I haven't sought medical attention for it. Now it's very severe, so I feel embarrassed to go see a doctor. The symptoms include itching, whitening, atrophy, cracks, hypertrophy, and hard lumps.

Doctor's answer:

Okay, here is the translation, following your instructions:
One. Hormone therapy mainly utilizes anti-inflammatory and anti-fibrotic effects to enhance the breakdown of skin proteins, thereby achieving the goals of relieving itching and restoring the skin to normal. Common hormone therapies include corticosteroid creams or ointments.
Two. Traditional Chinese Medicine (TCM) treatment is a choice for some patients. Generally, topical application of TCM herbs that clear heat, detoxify, invigorate blood circulation, and resolve stasis is used to alleviate symptoms. TCM can also be used to rinse the external genital area to achieve the effect of relieving skin itching.
Three. Surgical treatment. Previously, surgical excision was often considered for treating leukoplakia of the vulva. However, due to a high recurrence rate after surgery and the possibility of recurrence with subsequent surgeries, surgery is gradually less recommended. Nevertheless, surgery is still considered suitable for some patients.
Four. Cryotherapy uses liquid oxygen or liquid nitrogen for local treatment to destroy abnormal tissues in the vulvar area. After treatment, the treated area may show abnormalities, often resulting in blisters. This method has good short-term efficacy but can also lead to recurrence. Some patients may also experience shock due to the intense cold stimulation.

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