Does vulvar lichen sclerosus cause pain during intercourse?

Written by Hou Jie
Obstetrics and Gynecology
Updated on September 26, 2024
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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 Zhang Xiu Rong
Obstetrics and Gynecology
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What ointment is good for vulvar lichen sclerosus?

Vulvar lichen sclerosus is considered a complex gynecological condition. Typically, the condition has a long history and there are no specific effective drugs. The relatively better treatment options currently include the use of Bacterium anitratum ointment for symptomatic treatment. It is best to visit a hospital for an accurate diagnosis to confirm whether it is vulvar lichen sclerosus. If confirmed, topical Bacterium anitratum can be used, along with microwave laser treatment for symptomatic relief. In terms of traditional Chinese medicine, treatments that clear heat, remove dampness, and stop itching can also be used for symptomatic treatment. It is a complex condition that is difficult to treat. Clinically, it is essential to actively seek symptomatic treatment at hospitals for vulvar lichen sclerosus. Routine care should include wearing pure cotton underwear, avoiding harsh cleansing agents or intimate products, and washing daily with plain water, followed by the application of Bacterium anitratum ointment.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Can vulvar leukoplakia heal by itself?

Vulvar leukoplakia cannot heal by itself. It is generally considered that the majority of vulvar leukoplakia cases are due to poor nutrition of the vulva. Currently, the treatment of vulvar leukoplakia is one of the more challenging conditions in gynecology, as there are no specific effective medicines for this disease. Treatment can generally be conducted through physical methods such as the HaiFu knife, but there are no special effective drugs for this treatment either. This can only control the condition, alleviate symptoms, and manage itching, but it generally does not achieve a complete cure for vulvar leukoplakia. Therefore, the possibility of self-healing of vulvar leukoplakia is even less likely; considering there are no effective drugs even with treatment, the likelihood of self-healing is not high. Thus, patients with vulvar leukoplakia must actively seek symptomatic treatment in hospitals to at least alleviate symptoms; otherwise, severe itching of the vulva can occur.

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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 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 Zhang Xiu Rong
Obstetrics and Gynecology
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Can vulvar lichen sclerosus turn into cancer?

Patients with vulvar lichen sclerosus mostly do not have serious problems, but a very small number may develop vulvar cancer. There is a tendency towards malignant transformation, making vulvar lichen sclerosus a complicated gynecological condition. There is no specific cure for this disease, nor is there a particularly good treatment method available; the only option is to visit a hospital regularly for medication to alleviate symptoms. Therefore, as vulvar lichen sclerosus has a tendency to become malignant, if you feel discomfort, significant itching, or worsening of the condition, it is advisable to undergo a vulvar biopsy at a hospital to confirm whether there is a cancerous change. Thus, although the likelihood of cancer transformation in vulvar lichen sclerosus is not very high, it is still better for patients with this condition to seek treatment at larger hospitals.