Patient's question:
The external genitalia have two white spots the size of soybeans, with no other discomfort. I haven't noticed them before and just discovered them.Doctor's answer:
Hello, the clinical characteristics of leukoplakia of the vulva include vulvar itching, sometimes accompanied by a burning or painful sensation. The affected skin becomes rough and thickens like moss, with scratches and sometimes cracks. Local hypopigmentation occurs, with the labia majora and minora generally appearing white. Mild atrophy of the vulva may be observed, and in severe cases, the clitoris, labia majora, and minora may atrophy, adhere, and partially or completely disappear. The posterior commissure may tighten, the vaginal opening may become narrow and lose elasticity, and it may even affect urination and sexual activity. Your condition is still treatable, and proper treatment will not affect fertility.General treatment can involve decocting and soaking with traditional Chinese herbal medicines that clear heat, detoxify, eliminate dampness, and stop itching. This can significantly relieve vulvar itching, pain, and discomfort. You can also take oral antibiotics such as ciprofloxacin, combined with cleaning the vulva with Fuyanjie or Jie'eryin liquid for comprehensive treatment.