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.)

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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 Niu Hai Jing
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Can vulvar leukoplakia be cured completely?

Vulvar lichen sclerosus cannot be cured. Vulvar lichen sclerosus is also known as vulvar sclerosis and is mainly characterized by atrophy, thinning, and depigmentation of the vulvar and perianal skin, turning it white. The symptoms mainly include vulvar itching and a burning sensation. Sometimes the skin may appear shiny, wrinkled, and less elastic, which can also lead to cracking and peeling. Treatment generally involves local medications and is primarily supported by physical therapy. While most treatments are effective, they are not curative and require repeated therapy.

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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.

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Written by Du Rui Xia
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Will vulvar lichen sclerosus affect pregnancy?

Vulvar lichen sclerosus is mainly caused by long-term infection and inflammatory stimulation in the perineal area, leading to changes in the local skin. It generally does not greatly affect pregnancy, and normal conception is possible. However, during pregnancy, it is important to maintain local cleanliness and hygiene, and try to avoid using medication for treatment. If treatment is needed, it must be carried out under the guidance of a doctor, using medication that has minimal impact on the baby. It is necessary to wash the vulva with clean water daily, and it’s important to enhance the body's immune resistance, strengthen nutrition, and promote the recovery of skin lesions.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
1min 16sec home-news-image

Which department should I go to for vulvar lichen sclerosus?

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.)