What is the cause of vulvar dystrophy

Patient's question:

Thank you for the expert's reply and also for the enthusiastic comments from netizens. Thank you!
Please allow me to continue asking questions.
What is vulvar dystrophy? Is it a disease? Can it be cured?
What methods are used for treatment?
If it requires traditional Chinese medicine, do you need to take a lot of herbal medicine?
I look forward to the expert's guidance!

Doctor's answer:

Hello: Leukoplakia of the external genitalia (chronic nutritional dystrophic lesions of the external genitalia)
Leukoplakia of the external genitalia
Leukoplakia of the external genitalia refers to a group of diseases characterized by tissue degeneration and pigment changes in the skin and mucosa of the vulva due to nutritional disorders. It is also known as chronic nutritional dystrophic lesions of the external genitalia.
Hyperplastic leukoplakia of the external genitalia (hyperplastic dystrophy) generally occurs in women aged 30 to 60, with the main symptom being severe itching of the external genitalia. The lesions primarily occur on the labia majora and labia minora, sometimes extending to the perianal area. The skin appears dark red, with white patches interspersed, forming a mottled pattern (lichenized). The affected skin becomes thickened, resembling leather, with raised folds or scales, or eczematous changes.
Sclerosing lichen planus-type leukoplakia of the external genitalia (sclerosing lichen planus-type dystrophy) can occur at any age but is most common in women around 40. The main symptom is itching in the affected area. The lesions may involve the clitoris, labia majora, labia minora, posterior commissure, and perianal area. Initially, small white papules with irregular borders and a flat surface appear, gradually coalescing into white mottles. As the condition progresses, the skin in the affected area becomes thin and wrinkled, resembling cigarette paper, leading to atrophy of the entire vulva, vaginal stenosis, and difficulty during intercourse. Girls with this condition often experience discomfort in the external genitalia and perianal area after urination or defecation, and the lesions usually resolve spontaneously during puberty.
Mixed-type leukoplakia of the external genitalia (mixed-type nutritional dystrophy of the external genitalia) is a combination of the two types mentioned above, with visible atrophy of the vulva accompanied by raised white patches.
Leukoplakia of the external genitalia with atypical hyperplasia, atypical hyperplasia has no special

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