Patient's question:
Upon examination, grayish-white linear patches were found on the vulva, white spots on the perineum, and a mild itchy sensation. The doctors' conclusions varied; can it be confirmed as leukoplakia of the vulva?Doctor's answer:
The initial symptoms of vulvar leukoplakia are itching, which starts mild and gradually worsens, with some experiencing intense itching, particularly in the clitoral area, which is most severe at night. It is often accompanied by stinging and burning pain. Initially, the skin changes appear as small red dots the size of rice grains on the vulvar skin, usually accompanied by itching. These gradually merge into larger patches and break open, oozing yellow fluid. With scratching and breaking, the affected areas gradually turn white.Other accompanying symptoms vary depending on the severity of the condition and may include itching, cracks, ulcers, hyperplasia, thickening, roughness, hardening, scaling, purulent discharge, or atrophy and adhesion. The color of the leukoplakia can be pure white like frost, grayish-white, or powdery-white, with both dark and white patches present. If the leukoplakia increases and worsens without the patient realizing it, it may lead to skin hardening, causing the vaginal opening to narrow and constrict, resulting in painful intercourse or even difficulty during sexual activity.