Post Date August, 27 2023
We should pay attention to the occurrence of vulvar leukoplakia and also know the reasons for it. After falling ill, one must immediately undergo an examination at a reputable hospital and receive targeted treatment based on their condition.
Etiology of vulvar leukoplakia
1. Endocrine imbalance: Endocrine imbalance caused by pathological abnormalities, genetic, enzyme defects, immune function, and other reasons, leading to endocrine imbalance, local connective tissue proliferation, and epidermal metabolic stimulation imbalance, resulting in vulvar leukoplakia.
2. Heredity: Heredity accounts for only 20% of the factors that cause vulvar leukoplakia. However, genetic factors causing white spots on the external genitalia cannot be ignored. Genital leukoplakia caused by genetics is mainly atrophic, and the patients are mostly underage girls. Therefore, clinically, patients under the age of 15 should first analyze whether there are genetic factors.
3. Gynecological inflammation: Gynecological inflammation not only causes various symptoms, but also causes local neurovascular damage, trichomonas vaginitis, fungal vaginitis, cervical erosion, and other inflammations, causing an increase in vaginal secretions and degeneration of the vaginal discharge, long-term stimulation of the external genitalia, and causing vitiligo of the external genitalia. Therefore, this is one of the reasons for female genital leukoplakia.
4. Trauma: In addition to the three types mentioned above, perineal tearing during childbirth in pregnant women, local nerve and blood vessel damage, and a small number of pregnant women causing vitiligo in the vulva indirectly indicate that trauma may also cause the occurrence of vitiligo in the vulva.
Treatment methods for vulvar leukoplakia
1. Eliminate incentives: people with diabetes, trichomonal or mycotic vaginitis should be treated, eat less spicy food, keep the vulva clean, avoid soap wiping, scratching or use of irritating drugs, and can take a variety of vitamins and sedatives and desensitizers.
2. Local medication: aimed at relieving itching, anti-inflammatory, moisturizing, and improving local nutrition.
(1) External washing medicine: Traditional Chinese medicine Kushen Yinchen Lotion or other traditional Chinese medicine decoction fumigation washing.
(2) Atrophic type: 1-2% testosterone propionate liver ointment, 100-200 milligrams of testosterone propionate, 10-20 milligrams of liver ointment, wiped internally and externally, 3-4 times per day, for 2-3 months continuously. The skin thickens and softens, and adhesion relaxes.
3. Laser therapy: Laser therapy for sclerotic mossy type malnutrition has an anti itching effect, promotes wound healing and improves local blood circulation.
4. Surgical treatment: For moderate to severe atypical hyperplasia, or ulcers or chaps that have not healed for a long time after non-surgical treatment, simple vulvar resection may be considered.
