Does vulvar lichen sclerosus affect pregnancy?

Written by Zhao Li Li
Obstetrics
Updated on September 21, 2024
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Normal vulvar leukoplakia does not affect pregnancy. Vulvar leukoplakia is mainly caused by long-term inflammation of the vulva, leading to abnormal proliferation of the local skin. After confirming the situation of vulvar leukoplakia, it is still necessary to treat it according to the specific nature of the vaginal secretions. Firstly, control of vaginal inflammation is necessary to reduce the incidence of vulvar leukoplakia and the tendency towards malignant diseases. If vulvar leukoplakia persists, it may lead to malignant lesions of the local skin. Therefore, appropriate treatment should be administered timely after confirmation.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
1min 19sec home-news-image

Is the heritability of vulvar lichen sclerosus high?

Vulvar lichen sclerosus has a hereditary tendency, but the chances of inheritance are not high. The formation of vulvar lichen sclerosus is generally related to the individual's nutritional status and vulvar care. The main causes of vulvar lichen sclerosus are poor nutrition in the vulvar area, usually in patients with improper vulvar care, or patients with some other diseases, who exhibit significant vulvar itching. At this time, it is generally necessary to go to the hospital for a diagnosis of lichen sclerosus. If it is vulvar lichen sclerosus, it is mostly benign, with very few cases having a tendency to malignant transformation. Therefore, patients with vulvar lichen sclerosus must go to the hospital for a diagnosis and then receive treatment based on the examination results. There is no specific effective medication for this treatment, which belongs to a category of complex gynecological conditions. The effectiveness of this treatment is not very good, achieving relief from itching is already considered quite good. (Please use medication under the guidance of a professional physician, do not self-medicate.)

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Written by Yan Qiao
Obstetrics and Gynecology
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How to restore the color of vulvar leukoplakia

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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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.

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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 Zhang Xiu Rong
Obstetrics and Gynecology
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What medicine is good for vulvar lichen sclerosus?

Vulvar lichen sclerosus is one of the complex gynecological conditions that is difficult to treat. Generally, tertiary hospitals can perform some physical treatments such as Hyfrecator therapy or traditional Chinese medicine fumigation to manage symptoms. This condition can only be controlled in terms of reducing itching and preventing further outbreaks, as there are rarely specific drugs available for targeted treatment. Currently, major hospitals may use local basal layer injections or topical medications for symptomatic treatment. Therefore, if you have vulvar lichen sclerosus, it is essential to seek treatment at a tertiary hospital, as smaller hospitals are generally unable to treat this condition.