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 Zhang Xiu Rong
Obstetrics and Gynecology
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What ointment to apply for vulvar lichen sclerosus?

Vulvar lichen sclerosus clinically manifests as localized whitening of the vulvar skin color, accompanied by itching, which can be severe. Patients with severe conditions typically find it difficult to achieve therapeutic effects with general medications, so it is crucial for patients with vulvar lichen sclerosus to visit a hospital for timely and appropriate treatment. The occurrence of vulvar lichen sclerosus is primarily due to local malnutrition and excessive keratinization of the vulvar skin. Therefore, patients with vulvar lichen sclerosus are generally considered to have a complex gynecological condition. This condition can be symptomatically treated with the ointment, bamboo red fungus cream, or by undergoing physical therapy in larger hospitals, which may include treatment with the Haifu knife. Therefore, it is essential for patients with vulvar lichen sclerosus to receive a definitive diagnosis and appropriate treatment in a hospital.

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Written by Du Rui Xia
Obstetrics
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Will vulvar lichen sclerosus affect pregnancy?

Vulvar lichen sclerosus is mainly caused by long-term infection and inflammatory stimulation in the perineal area, leading to changes in the local skin. It generally does not greatly affect pregnancy, and normal conception is possible. However, during pregnancy, it is important to maintain local cleanliness and hygiene, and try to avoid using medication for treatment. If treatment is needed, it must be carried out under the guidance of a doctor, using medication that has minimal impact on the baby. It is necessary to wash the vulva with clean water daily, and it’s important to enhance the body's immune resistance, strengthen nutrition, and promote the recovery of skin lesions.

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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 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 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.