What are the treatments for vulvar leukoplakia?

What are the treatments for vulvar leukoplakia? Vulvar leukoplakia, a gynecological disease, is very harmful to patients. The main symptom is that the vulva is extremely itchy. The itching time from onset to treatment is within 2 to 3 months, and it can also last up to 20 years. It needs to be taken seriously and treated actively. So, what are the treatments for vulvar leukoplakia?

Traditional Chinese medicine treatment of vulvar leukoplakia: In order to reduce the side effects of western medicine treatment of the disease, some patients will also be treated with traditional Chinese medicine therapy. In clinical treatment of the disease, the disease is generally treated by external application and flushing of traditional Chinese medicine such as dispelling wind and dampness, clearing away heat and detoxification, and promoting blood circulation and removing stasis. This treatment method is used by more patients, but there is still a lack of objective evaluation indicators and long-term follow-up, and the treatment effect varies according to the patient's condition.

Local treatment of vulvar leukoplakia: patients need to keep the vulva clean and dry, and do not scrub excessively with soap. Chinese medicine that clears away heat, detoxifies and dries dampness can be used for external washing. When itching is obvious, corticosteroids can be applied topically, such as hydrocortisone ointment and hydrocortisone butyrate cream. When itching is particularly severe, halometasone cream or ointment and clobetasol (Temeifu) cream or ointment can be applied topically, which are effective in treating the itching caused by vulvar leukoplakia. Keratotic hyperplastic lesions can be treated topically with 0.025% to 0.05% retinoic acid ointment or 2.5% fluorouracil ointment.

Surgical excision for vulvar leukoplakia: In fact, mild atypical hyperplasia of vulvar leukoplakia can be completely alleviated or even cured through the combination of Chinese and Western medicine, and it does not necessarily develop into squamous cell carcinoma. Therefore, the degree of atypical lesions of vulvar leukoplakia must be determined first. Usually, it is necessary to combine Chinese and Western medicine treatment and follow up frequently. For patients who have not been cured for a long time, surgery is the definite indication for vulvar leukoplakia only when the epidermal keratinocytes have obvious atypicality and tend to develop into carcinoma in situ.

Experts point out: It is best to use comprehensive treatment to treat vulvar leukoplakia. Each treatment method has its advantages and disadvantages, so the best treatment for the disease is a combination of oral and topical medications, and a combination of Chinese and Western medicine. This is especially true for patients with larger ulcers and white spots. This is also a reflection of being responsible for their own health.