Which department should I go to for vulvar lichen sclerosus?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 18, 2024
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Patients with vulvar lichen sclerosus generally visit the gynecology department of hospitals, as the diagnosis and treatment of this condition are considered a kind of complex gynecological issue. This disease generally cannot be treated in smaller hospitals, and better treatment is usually available in third-grade, class-A hospitals’ gynecology departments. The formation of vulvar lichen sclerosus is mostly due to poor nutrition of the vulva, so patients with this condition should definitely seek treatment at large, third-grade, class-A hospitals. The treatment can generally be conducted through physical methods or topical medications. During the treatment process, the majority of cases can experience symptom relief. Vulvar lichen sclerosus is generally benign, but in very rare cases, it may turn malignant. Therefore, patients with worsening conditions can undergo a biopsy in the hospital to determine if the lichen sclerosus is worsening or if there is a tendency towards vulvar cancer. (Please use medication under the guidance of a professional physician, and do not self-medicate.)

Other Voices

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Written by Wang Jing Hua
Obstetrics and Gynecology
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What fruits and vegetables are good for lichen sclerosus of the vulva?

Currently, there is no clear cause for vulvar lichen sclerosus, and it is not related to diet. Therefore, you can eat any fruit and vegetable with vulvar lichen sclerosus; there are no dietary restrictions. Just like usual, eat fruits and vegetables, but try to avoid cold foods. The same applies to other foods. Just make sure not to be partial to any particular type of food. Vulvar lichen sclerosus should be treated symptomatically if symptoms are present. Most of the time, treatment can be chosen from traditional Chinese medicine.

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Written by Yan Qiao
Obstetrics and Gynecology
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Symptoms of vulvar lichen sclerosus around the anus

Vulvar lichen sclerosus encompasses a multitude of different pathological types, primarily including simple lichen, sclerotic lichen, as well as lichen planus, Behcet's disease, vulvar vitiligo, and other secondary hypopigmentary disorders of the vulva. However, the primary conditions that can present with white lesions in the perianal area are sclerotic lichen and vulvar vitiligo. If the perianal white lesions are caused by vulvar vitiligo, they generally do not exhibit any symptoms and do not require special treatment. If the condition is sclerotic lichen, it may cause local pain, itching, and a burning sensation in the perianal area, particularly after defecation, which can lead to discomfort.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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What medicine is good for vulvar lichen sclerosus?

Vulvar lichen sclerosus is one of the complex gynecological conditions that is difficult to treat. Generally, tertiary hospitals can perform some physical treatments such as Hyfrecator therapy or traditional Chinese medicine fumigation to manage symptoms. This condition can only be controlled in terms of reducing itching and preventing further outbreaks, as there are rarely specific drugs available for targeted treatment. Currently, major hospitals may use local basal layer injections or topical medications for symptomatic treatment. Therefore, if you have vulvar lichen sclerosus, it is essential to seek treatment at a tertiary hospital, as smaller hospitals are generally unable to treat this condition.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Can vulvar leukoplakia heal by itself?

Vulvar leukoplakia cannot heal by itself. It is generally considered that the majority of vulvar leukoplakia cases are due to poor nutrition of the vulva. Currently, the treatment of vulvar leukoplakia is one of the more challenging conditions in gynecology, as there are no specific effective medicines for this disease. Treatment can generally be conducted through physical methods such as the HaiFu knife, but there are no special effective drugs for this treatment either. This can only control the condition, alleviate symptoms, and manage itching, but it generally does not achieve a complete cure for vulvar leukoplakia. Therefore, the possibility of self-healing of vulvar leukoplakia is even less likely; considering there are no effective drugs even with treatment, the likelihood of self-healing is not high. Thus, patients with vulvar leukoplakia must actively seek symptomatic treatment in hospitals to at least alleviate symptoms; otherwise, severe itching of the vulva can occur.

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Written by Liu Jian Wei
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Can vulvar lichen sclerosus turn into cancer?

Vulvar lichen sclerosus is a condition characterized by white lesions on the vulva, which can potentially become malignant under long-term stimulation of vulvar lichen sclerosus. Currently, there are no specific effective medications for the treatment of vulvar lichen sclerosus clinically. If a patient notices depigmentation in the vulvar area, it is imperative to seek immediate medical attention from a local hospital to confirm the diagnosis of vulvar lichen sclerosus. If necessary, a local biopsy of the vulva should be conducted to determine the presence of any malignant changes.