Patient's question:
Please help translate the following content into English, where "" does not need to be translated and should be returned as is, and all other Chinese text should be translated into English:"Please ask if a small white bean about 3mm in size has grown on the vulva, causing some pain, and whether it could be vulvar leukoplakia. What causes it? It has appeared before but then disappeared and returned again. Will it resolve on its own if left untreated? What ointment should be applied? Thank you!
First follow-up question: Thank you! Can I apply Daktar ointment? I am taking medication for an ovarian cyst and blood-tinged leukorrhea (Cinnamon Fructus/Lonicera Japonica Tablets). Is this the cause? Can diet affect it?"
Doctor's answer:
Hello: The etiology of leukoplakia of the vulva is very complex and is related to factors such as genetics, chronic inflammation stimulation, endocrine disorders, immune metabolic disorders, and microcirculatory disorders.Infection and inflammatory stimulation are the main causes, accounting for about 50% of cases. Many factors can lead to vulvar infection and inflammation, such as poor hygiene habits, acute or chronic vaginitis, swimming in public baths, or cross-infection during travel. These conditions can cause vaginal inflammation. If not treated promptly, inflammatory secretions may infiltrate the perineum, and prolonged infection and stimulation can gradually develop into leukoplakia of the vulva.
Additionally, the use of unclean sanitary pads or toilet paper during a woman's menstrual period can lead to bacterial growth and spread in the perineum. Some individuals may be allergic to synthetic materials, causing infection and irritation in the perineum, resulting in redness, swelling, ulcers, and degeneration, which may also lead to leukoplakia of the vulva. Conditions such as diabetes, vulvar eczema, or vulvar itching, if treated improperly or with indiscriminate medication use, may also lead to or exacerbate the formation and progression of leukoplakia.