What should I do if there is leukoplakia in the vulva?

Patient's question:

Medical history: Three or four years ago, I had candidal vulvitis. The external genital area was constantly itchy, and the vaginal opening also tended to discharge white secretions and was itchy. At that time, I noticed that the skin around the vaginal opening was slightly pale, but I didn’t pay much attention. After medication and treatment, it returned to normal and stopped itching. I’ve had my child for over a year now. Recently, I went to the hospital for a gynecological examination, and the tests for vaginal discharge and ultrasound were all normal. However, the doctor noticed that the skin around my vaginal opening was still somewhat pale. She said it didn’t quite resemble leukoplakia of the vulva because I didn’t have any itching symptoms, and the pale areas on my skin were also quite smooth. The doctor explained that if I had leukoplakia of the vulva, I would likely experience severe itching and skin atrophy. She also suggested that it might be vitiligo, but I find that possibility unlikely because there are no white patches on other parts of my body.

Doctor's answer:

Hello, the symptoms you mentioned may be caused by factors such as vaginitis or external genital infection with inflammation. You can use Fuyanjie for irrigation and treatment, and wait and see. Pay attention to personal hygiene, and if necessary, go to the hospital for further examination and treatment.
Based on your description, it is considered that you may have an infection in your reproductive system. Vaginitis is more likely to be the cause. It is recommended that you use liquid and suppositories for local treatment. Don’t worry too much—it can be cured. Your condition may be related to masturbation. You should pay attention to reasonable physical exercise, clear heat and detoxify, and nourish the liver and kidneys. In the end, a sit bath is relatively better.
You can use traditional Chinese medicine methods to nourish qi and blood. Medicines such as honeysuckle, dandelion, chrysanthemum, and dandelion are relatively good. Pay attention to a light diet, and you can check with the gynecology or traditional Chinese medicine department for medication.

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