Patient's question:
Vulvar leukoplakia........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 spontaneously during puberty, and pyruvate ointment is generally not used to avoid masculinization. A 1% hydrocortisone cream or 0.3% progesterone ointment can be applied, with symptoms often relieved, but long-term follow-up is necessary.