Post Date April, 15 2023
Vulval ulcer is a common condition in women and a reaction to some diseases. After it appears, we must go to a regular hospital immediately for examination and reasonable treatment according to our own conditions.
Treatment of vulvar ulcer
1. General treatment: The treatment of vulvar ulcer should keep the vulva clean and dry and reduce friction. The ulcer caused by nonspecific vulvitis can be treated with antibiotic ointment locally. Other ulcers should be treated according to the etiology. For patients with Behcet's disease, attention should be paid to improving the general condition. If the symptoms are serious, corticosteroids can be given to relieve the symptoms during the acute period. Local application of compound neomycin ointment, 1-2% silver nitrate ointment or dispersion of boric acid.
2. Etiological treatment: specific systemic and local treatment for different etiologies. Drug treatment includes antifungal, antiviral, anti-tuberculosis, and anti-syphilis.
3. Systemic treatment: pay attention to rest and nutrition, and supplement a large amount of vitamin b and c, or take oral Chinese medicine for treatment. When there is secondary infection, antibiotics should be considered.
4. Local treatment:
(1) Keep the vulva clean and dry, and take a sitz bath with appropriate liquid medicine.
(2) Apply medicine to the skin injury. Dactyline cream (fungal infection) and acyclovir cream (viral infection) are selected for different pathogens.
(3) Local physical therapy can help heal some vulvar ulcers.
A folk prescription for vulvar ulcer
1. 10 grams of pinellia, 6 grams of coptis chinensis, 10 grams of baicalin, 6 grams of dried ginger, 12 grams of roasted licorice, 15 grams of codonopsis pilosula, 12 grams of fried atractylodes macrocephala, 30 grams of poria cocos, 10 grams of orange peel, 30 grams of sophora flavescens, 12 grams of angelica sinensis, 10 grams of Zhejiang shellfish, 30 grams of Sanguisorba officinalis, and 10 grams of jujube. 7 doses, decoct with water.
2. 30 grams of sophora flavescens, 30 grams of phellodendron amurense, and 10 grams of licorice. 7 doses, boiling with water for sitz bath.
Prevention and health care of vulvar ulcer
1. Strengthen publicity and education and prohibit prostitution.
2. Pay attention to personal hygiene.
3. Timely and thoroughly treat the early disease to prevent the disease from developing to the late stage.
4. Syphilis serum test before marriage and during pregnancy.
5. The blood source was strictly selected, and the blood donors were tested with syphilis serum.
6. At the initial stage of vulvar ulcer caused by sexually transmitted diseases, the infected skin damage should be effectively controlled, the source of infection should be tracked, and the sexual partner should be treated with or without symptoms. Pay attention to mixed infection with other sexually transmitted diseases, especially whether HIV infection is combined at the same time. At present, the most effective prevention method is to avoid contact with infectious skin damage. Condoms can reduce the spread of disease. Not suitable for sexual life during infection.
