How many types of vulvar leukoplakia can be classified? How to determine whether it is vulvar leukoplakia

The appearance of vulvar leukoplakia has a serious impact and harm on women, especially after our body has abnormal manifestations. We must take it seriously and immediately go to the hospital for examination and treatment.

Types of white spots on the external genitalia

1. Vulvar sclerotic lichen: This type of vulvar leukoplakia is mainly manifested in skin diseases characterized by atrophy of the skin around the vulva and anus. The cause is unknown, but there is a family genetic history. Some scholars have found that individuals with this disease often have autoimmune diseases such as alopecia areata, vitiligo, hyperthyroidism, or hypothyroidism, indicating that this disease is related to their own immunity.

2. Mixed type malnutrition: This type of vulvar leukoplakia disease usually refers to patients with both proliferative and atrophic forms of vulvar leukoplakia. In the middle to late stages of this condition, there are usually two types of mixed symptoms. The pathological manifestation is mixed type malnutrition.

3. Squamous epithelial hyperplasia of the vulva: The main symptom of this type of vulvar leukoplakia is itching of the vulva. Although there is no direct cause for the occurrence of this disease, anatomical and physiological factors such as prolonged dampness of the local skin of the vulva and stimulation of vaginal discharge may be related to its onset. This disease is more common in postmenopausal women, but it can also occur at reproductive age.

Symptoms of vulvar leukoplakia

1. Itching sensation: Firstly, the external genitalia is itchy, especially at night, and the itching sensation will be more severe. The degree of itching is related to the time of disease occurrence, menstrual cycle, climate changes, daily diet, living environment, emotional changes, etc. It is usually an intermittent attack that patients cannot tolerate due to itching. After scratching, there will be multiple scratches and redness in the external vagina. Over time, local ulcers, dry cracks, ulcers, and secondary infections are prone to occur.

2. Excessive keratinization: In the early stage, excessive keratinization is also the focus of analyzing symptoms of vulvar leukoplakia. Limited or diffuse white thickening of the skin mucosa of the external genitalia, such as leather, wrinkles, scales, and eczema. The skin color of the external genitalia is mostly purple red or light red, appearing as gray white or gray blue, mixed with clearly defined white keratinized plaques of different shapes and sizes. The genital area is significantly atrophied, the foreskin of the penis is thick, the keratinization is obvious, the texture of the labia majora is thick, and the pigmentation is reduced.

3. Rough skin: The patient's affected skin is rough, as thick as moss, and is prone to dryness and cracking when scratched. In addition, local pigmentation will decrease, and the labia majora and labia minora will usually turn white. When the condition is mild, the external genitalia undergoes mild atrophy. In severe cases, the penis undergoes atrophy, with adhesions of the labia and labia, partially or completely disappearing. Later, the vaginal opening becomes narrower and the elasticity disappears, affecting normal urination and marital life.