Does vulvar lichen sclerosus cause pain during intercourse?

Written by Hou Jie
Obstetrics and Gynecology
Updated on September 26, 2024
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Vulvar leukoplakia belongs to vulvar dystrophic diseases, and when accompanied by vaginal contraction, symptoms of pain during intercourse can occur. Therefore, when vulvar leukoplakia is discovered, it is necessary to actively cooperate with the doctor for treatment. Sometimes treatment with traditional Chinese medicine can be more effective, potentially slowing the progression of the disease and alleviating symptoms. Therefore, it is suggested that women with vulvar leukoplakia eat more foods rich in vitamins and fruits in daily life, which can sometimes help alleviate symptoms. Women with vulvar leukoplakia should avoid emotional fluctuations, especially when itching symptoms are pronounced, and try to avoid scratching with hands to prevent local infections.

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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 Zhao Li Li
Obstetrics
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Does vulvar lichen sclerosus affect pregnancy?

Normal vulvar leukoplakia does not affect pregnancy. Vulvar leukoplakia is mainly caused by long-term inflammation of the vulva, leading to abnormal proliferation of the local skin. After confirming the situation of vulvar leukoplakia, it is still necessary to treat it according to the specific nature of the vaginal secretions. Firstly, control of vaginal inflammation is necessary to reduce the incidence of vulvar leukoplakia and the tendency towards malignant diseases. If vulvar leukoplakia persists, it may lead to malignant lesions of the local skin. Therefore, appropriate treatment should be administered timely after confirmation.

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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.

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Written by Du Rui Xia
Obstetrics
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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.