Can vulvar lichen sclerosus turn into cancer?

Written by Liu Jian Wei
Obstetrics and Gynecology
Updated on September 04, 2024
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Vulvar lichen sclerosus is a condition characterized by white lesions on the vulva, which can potentially become malignant under long-term stimulation of vulvar lichen sclerosus. Currently, there are no specific effective medications for the treatment of vulvar lichen sclerosus clinically. If a patient notices depigmentation in the vulvar area, it is imperative to seek immediate medical attention from a local hospital to confirm the diagnosis of vulvar lichen sclerosus. If necessary, a local biopsy of the vulva should be conducted to determine the presence of any malignant changes.

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Written by Jia Rui
Obstetrics and Gynecology
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Is vulvar lichen sclerosus contagious?

Vulvar lichen sclerosus is non-contagious and cannot be cross-infected, but it is hereditary and can skip generations. Additionally, it is important to maintain hygiene during sexual intercourse, preferably using condoms, as this is beneficial for the condition. Furthermore, regular physical exercise should be undertaken to enhance the body's resistance and immunity. It is important to keep the area clean and dry, avoid using soap or irritating substances for cleansing the vulva, and avoid consuming spicy or irritating foods.

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Written by Yan Qiao
Obstetrics and Gynecology
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Can lichen sclerosus cause adhesions?

One of the main symptoms of vulvar lichen sclerosus is severe vulvar itching, which may result in noticeable skin lesions, usually caused by a vicious cycle of repeated scratching. In the early stages of the disease, the skin appears dark red or pink. As the condition worsens, the lesions may appear white, and later stages include thickening of the skin, hyperpigmentation, pronounced skin texture resembling lichenoid changes, and may also present with scratches, fissures, and ulcers. If vulvar hygiene is neglected, vulvitis is likely to develop, which can easily lead to vulvar adhesions.

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Written by Hou Jie
Obstetrics and Gynecology
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Does vulvar lichen sclerosus cause pain during intercourse?

Vulvar leukoplakia belongs to vulvar dystrophic diseases, and when accompanied by vaginal contraction, symptoms of pain during intercourse can occur. Therefore, when vulvar leukoplakia is discovered, it is necessary to actively cooperate with the doctor for treatment. Sometimes treatment with traditional Chinese medicine can be more effective, potentially slowing the progression of the disease and alleviating symptoms. Therefore, it is suggested that women with vulvar leukoplakia eat more foods rich in vitamins and fruits in daily life, which can sometimes help alleviate symptoms. Women with vulvar leukoplakia should avoid emotional fluctuations, especially when itching symptoms are pronounced, and try to avoid scratching with hands to prevent local infections.

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Written by Shen Li Wen
Obstetrics and Gynecology
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What are the symptoms of vulvar lichen sclerosus?

Vulvar lichen sclerosus, also known as lichen sclerosis, is one of two conditions, the other being epithelial hyperplasia, characterized by the appearance of white patches on the vulva. Both conditions are marked by severe itching as a common symptom, though they differ in subtle ways. For instance, in the case of lichen sclerosis, the affected skin and mucous membranes become less elastic and thinner, as seen with the shrinking of the labia minora. Women may experience a burning sensation locally and pain during intercourse. When epithelial hyperplasia occurs, the local skin and mucous membranes thicken, often showing scratch marks due to extreme itching.

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Written by Jia Rui
Obstetrics and Gynecology
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What is good to eat for vulvar lichen sclerosus?

Vulvar leukoplakia causes white lesions on the vulva, mainly manifesting as itching, increased discharge, and pain. It is one of the most common diseases in women, possibly caused by poor hygiene and a decrease in immunity. It is recommended to use medication or physical therapy for treatment. Pay attention to the hygiene of the vulva, change underwear frequently, and keep the area clean. Diet should also be light, avoiding spicy and irritating foods, and it is best to avoid eating potentially allergenic foods like shrimp and crab.