Patient's question:
In the past two months, my menstrual cycle has been irregular, with some white discharge that is sticky. I have also noticed white patches on my external genitalia. During daytime naps, the itching is severe, affecting my deep sleep. Gradually, the skin around my anus has also turned white, which looks very unattractive. I have tried various methods without any relief, and a thorough examination at the hospital confirmed it as leukoplakia of the vulva.What kind of help I need: How effective is the treatment for leukoplakia of the vulva?
Doctor's answer:
Reappearance of localized or diffuse white patches on the skin of the female genital area can spread to the inner thighs, perineum, and anus, but rarely affects the urethral opening or the vestibule. Symptoms include itching in the genital area, dry skin, thickening and whitening, loss of elasticity, even swelling and rupture, accompanied by pain and burning sensation. Clinical diagnosis and pathological examination reveal atypical cellular fibrosis. Locally, 1% hydrocortisone and 1-2% testosterone ointment can be applied. This treatment should be maintained for 6-8 weeks, with 3-4 applications per day. While adhering to long-term treatment, it is essential to maintain long-term cleanliness and dryness of the external genitalia, avoid wearing tight underwear, and avoid wearing non-breathable synthetic underwear. Additionally, it is necessary to reduce the intake of easily allergenic foods.