Vulvar pruritus White lesions of the vulva

Vulvar pruritus accompanied by vulvar white lesions may indicate pathological changes in the vulva, and you should seek medical attention in time to rule out the possibility of serious diseases. Common causes include pathological factors such as fungal infection, chronic inflammation, decreased hormone levels, and vulvar leukoplakia. Treatment methods mainly include drug therapy, local care, and surgical intervention when necessary.

1. Fungal infection

One of the most common causes of vulvar itching is fungal infection, especially Candida infection. In addition to itching, patients may also have white patches and increased secretions. For this type of situation, antifungal drugs such as topical ointments such as clotrimazole and miconazole can be used. When the symptoms persist and are severe, oral antifungal drugs such as fluconazole can also be used. During this period, care should be taken to keep the vulva clean and avoid long-term moisture to provide suitable growth conditions for the lesions.

2Chronic inflammation or allergic reaction

Chronic inflammation or allergies to chemicals may also cause vulvar itching, accompanied by tissue hyperplasia or white lesions. In daily life, the chemical ingredients in certain detergents, shower gels and hygiene products may cause contact dermatitis or allergic reactions. It is recommended to avoid using irritating cleaning products and choose mild and fragrance-free personal care products. If the itching symptoms persist, the dermatologist may recommend the use of antiallergic drugs or glucocorticoid ointments to improve the symptoms.

3. Decreased hormone levels

In postmenopausal women, the decline in estrogen levels may cause atrophic changes in the vulvar skin and mucosa, manifesting as itching and white lesions, scientifically known as atrophic vulvitis. Topical estrogen cream rings or vaginal rings can relieve symptoms, improve atrophy of vulvar tissue, and restore elasticity.

4 Leukoplakia vulvae or vulvar intraepithelial lesions

Vulvar leukoplakia is a high-risk lesion that often presents as white infiltration and thickening of the local skin of the vulva, accompanied by itching. Some cases may progress to precancerous lesions called vulvar intraepithelial neoplasia (VIN). In this case, a local biopsy is usually required to confirm the diagnosis. Treatments include surgical removal of the lesion, laser therapy, or local immunotherapy such as imiquimod. Early diagnosis and intervention are particularly critical.

In daily preventive measures, you should pay attention to proper cleaning of the vulva, wear loose cotton underwear, and avoid using care products containing chemical additives. Early symptoms should be treated as soon as possible, the cause should be identified in time and actively treated to avoid progression of the disease or more serious problems. If the problem continues to worsen, go to a regular hospital for detailed examination and treatment immediately to grasp the best time for intervention.