Will vulvar lichen sclerosus affect pregnancy?

Written by Du Rui Xia
Obstetrics
Updated on September 15, 2024
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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
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What ointment to apply for vulvar lichen sclerosus?

Vulvar lichen sclerosus clinically manifests as localized whitening of the vulvar skin color, accompanied by itching, which can be severe. Patients with severe conditions typically find it difficult to achieve therapeutic effects with general medications, so it is crucial for patients with vulvar lichen sclerosus to visit a hospital for timely and appropriate treatment. The occurrence of vulvar lichen sclerosus is primarily due to local malnutrition and excessive keratinization of the vulvar skin. Therefore, patients with vulvar lichen sclerosus are generally considered to have a complex gynecological condition. This condition can be symptomatically treated with the ointment, bamboo red fungus cream, or by undergoing physical therapy in larger hospitals, which may include treatment with the Haifu knife. Therefore, it is essential for patients with vulvar lichen sclerosus to receive a definitive diagnosis and appropriate treatment in a hospital.

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

Vulvar lichen sclerosus is considered a complex gynecological condition. Typically, the condition has a long history and there are no specific effective drugs. The relatively better treatment options currently include the use of Bacterium anitratum ointment for symptomatic treatment. It is best to visit a hospital for an accurate diagnosis to confirm whether it is vulvar lichen sclerosus. If confirmed, topical Bacterium anitratum can be used, along with microwave laser treatment for symptomatic relief. In terms of traditional Chinese medicine, treatments that clear heat, remove dampness, and stop itching can also be used for symptomatic treatment. It is a complex condition that is difficult to treat. Clinically, it is essential to actively seek symptomatic treatment at hospitals for vulvar lichen sclerosus. Routine care should include wearing pure cotton underwear, avoiding harsh cleansing agents or intimate products, and washing daily with plain water, followed by the application of Bacterium anitratum ointment.

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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 Shen Li Wen
Obstetrics and Gynecology
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What are the symptoms of vulvar lichen sclerosus?

Vulvar lichen sclerosus, also known as lichen sclerosis, is one of two conditions, the other being epithelial hyperplasia, characterized by the appearance of white patches on the vulva. Both conditions are marked by severe itching as a common symptom, though they differ in subtle ways. For instance, in the case of lichen sclerosis, the affected skin and mucous membranes become less elastic and thinner, as seen with the shrinking of the labia minora. Women may experience a burning sensation locally and pain during intercourse. When epithelial hyperplasia occurs, the local skin and mucous membranes thicken, often showing scratch marks due to extreme itching.

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Written by Niu Hai Jing
Obstetrics and Gynecology
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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.