Will vulvar leukoplakia cause vulvar cancer?

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting fertility, and I'm also extremely sensitive to cold and coldness. Can leukoplakia of the vulva cause vulvar cancer?

Doctor's answer:

The initial symptoms of vulvar leukoplakia are itching, which can be intermittent or persistent. The local pathological manifestations on the vulvar skin are small red spots of varying sizes, resembling rice grains. In terms of treatment, for hyperplastic vulvar leukoplakia, the primary goal is to relieve itching, often using 1% hydrocortisone ointment to alleviate symptoms and improve local lesions. For atrophic vulvar dystrophy, 2% testosterone propionate cod liver oil ointment can be applied 3-4 times daily until the skin softens, adhesions loosen, and itching disappears. If it is a mixed type, hydrocortisone ointment can be used for treatment. Additionally, laser therapy can be effective for this condition, particularly CO2 or helium-neon laser treatment for atrophic leukoplakia of the vulva.

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