How to treat vulvar white lesions

Patient's question:

Discovered in 2007. Vulvar color change, external itching. Shijiazhuang Second People's Hospital.

Doctor's answer:

Common medications for vulvar lichen sclerosus include pyruvate ointment, compound vitamin A ointment, and progesterone ointment. Corticosteroid creams or immunotherapy can also be used. Medications can improve symptoms but not cure the condition, requiring long-term use. In girls with lichen sclerosus, the condition may resolve on its own during puberty, and pyruvate ointment is generally not used for treatment. It is recommended to try oral Fuyankang, and for severe cases, intravenous anti-inflammatory treatment or integrated Chinese and Western treatment is advised. This disease is quite stubborn, and after improvement or cure, it is important to maintain treatment for a certain period. Additionally, both partners should clean their external genitalia before intercourse, and the actions should be gentle.

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