How to restore the color of vulvar leukoplakia

Written by Yan Qiao
Obstetrics and Gynecology
Updated on September 05, 2024
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The treatment of vulvar lichen sclerosus is generally quite challenging. However, symptoms can be alleviated by some symptomatic treatments. Firstly, it is important to keep the affected area clean and dry. Attention should be paid to avoid spicy and allergenic foods, and not to wash the vulva with irritating drugs or soaps. Wearing non-breathable synthetic underwear should be avoided. Additionally, topical corticosteroid medications can be used to control itching. However, it takes a long time for the affected skin to show significant improvement or return to normal. If medication treatment is not sustainable or effective, local physical therapy can be recommended. This involves removing abnormal epithelial tissues locally and destroying nerve endings in the dermis, thus interrupting the vicious cycle caused by itching and scratching. For patients who do not respond to medication or physical therapy, or those with atypical hyperplasia or potential malignant changes, surgical treatment can be recommended. However, surgery is generally considered a last resort due to the possibility of long-term recurrence and significant trauma, affecting both the appearance and function of the vulva.

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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 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 Liu Jian Wei
Obstetrics and Gynecology
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Can vulvar lichen sclerosus turn into cancer?

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 Zhang Xiu Rong
Obstetrics and Gynecology
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Which department should I go to for vulvar lichen sclerosus?

Patients with vulvar lichen sclerosus generally visit the gynecology department of hospitals, as the diagnosis and treatment of this condition are considered a kind of complex gynecological issue. This disease generally cannot be treated in smaller hospitals, and better treatment is usually available in third-grade, class-A hospitals’ gynecology departments. The formation of vulvar lichen sclerosus is mostly due to poor nutrition of the vulva, so patients with this condition should definitely seek treatment at large, third-grade, class-A hospitals. The treatment can generally be conducted through physical methods or topical medications. During the treatment process, the majority of cases can experience symptom relief. Vulvar lichen sclerosus is generally benign, but in very rare cases, it may turn malignant. Therefore, patients with worsening conditions can undergo a biopsy in the hospital to determine if the lichen sclerosus is worsening or if there is a tendency towards vulvar cancer. (Please use medication under the guidance of a professional physician, and do not self-medicate.)

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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.