Patient's question:
Detailed medical condition and consultation purpose: Is there medication for leukoplakia of the vulva? Is the effect of medication good? Are there better treatment methods? Thank you, experts! Can the atrophic phenomenon be reversed? Will it affect future life!Doctor's answer:
Hello, there are several treatment methods for vulvar leukoplakia.Medication Treatment: Local application of hormone drugs, local injection of anaerobic rods, and traditional Chinese medicine treatment, among others.
Physical Therapy: Microwave therapy, carbon dioxide laser, helium-neon laser, BOM light, high-frequency electric knife, local electrocautery, and local cryotherapy with liquid nitrogen, among others.
Surgical Treatment: Simple vulvectomy, vulvectomy combined with skin grafting.
Generally, medication treatment is used first, and other treatment methods can be selected under the guidance of a doctor. Since "vulvar leukoplakia" is a stubborn condition, long-term treatment and regular follow-ups are necessary. Follow-up intervals of 3 to 6 months are recommended. With persistent treatment, generally satisfactory results can be achieved. Medication treatment may include vitamin supplements. If vulvar itching is severe and affects sleep, mild sedatives can be taken. Locally, 1% hydrocortisone and 1–2% testosterone cream 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 also essential to maintain vulvar cleanliness and dryness, avoid tight underwear, wear breathable synthetic underwear, and reduce the intake of allergenic foods.
After general recovery, there is usually no significant impact on future life.