What Is Vaginal Spotting?

The duration of vaginal leukoplakia varies, and in some cases the lesions spread rapidly and extensively, and there are also cases where the lesions remain unchanged for several years. Female vulva leukoplakia is often accompanied by itching, even severe itching, and moss sclerosis is progressive. Pain can occur, especially when cracks appear.

Basic Information

Visiting department: Gynecology
Multiple groups: female

Common locations: vaginal
Common symptoms: Itching, pain, keratinized, rough, hardened, pearly white, papillary proliferation or atrophy, etc.

Causes of vaginal leukoplakia

The cause of this disease is not clear.

Vaginal leukoplakia clinical manifestations

1. Female leukoplakia is often accompanied by itching, even severe itching, and moss sclerosis is progressive. Pain can occur, especially when cracks appear.

2. Except for the vestibule and urethral opening, other parts of the vulva can be affected, mainly the inner surface of the clitoris, labia majora and labia majora. Fissures and ulcers suggest a poor prognosis. The enlarged lesion area can cause vaginal opening stenosis, and the labia minora does not shrink.

3. The skin lesions are basically the same as the white spots of the oral mucosa. In the early stage, the lesions were single, white patches, the elasticity and gloss disappeared, and they could expand and merge with each other. Vaginal secretions are impregnated and often thickened. There are also those who only feel itching in the early stage and become white spots later. In the later stage, the surface is keratinized, rough, hardened, pearly white, and the nipple-like proliferation or atrophy. Consciously itching is intense, secondary to swelling, cleft palate, ulcers due to scratching.

4. The late lesions become enlarged and hardened, and there may be secondary canceration.

Vaginal leukoplakia

Vaginal leukoplakia requires histopathological examination. If the histopathology is not easy to identify, local injection of steroid hormones can be performed, and the biopsy can be performed again after mossy changes have been removed. Histopathologically, it is irregular in shape, with varying degrees of cellular changes, or disappearance of polarity. Follow-up biopsy can reveal increased mitotic activity in the epidermis (early manifestation of atypical hyperplasia).

Vaginal white spot diagnosis

Diagnosis is based on clinical manifestations, skin lesion characteristics, and histopathological characteristics. The disease needs to be distinguished from lichenoid, epidermal nevus and lichen planus.

Vaginal leukoplakia treatment

1. Systemic treatment, regular review, pay attention to cancerous tendency. Pay attention to cleaning the vulva and look for the cause. If there is fungal vaginitis, trichomoniasis, leucorrhea or other vaginal inflammation disorders, they should be treated accordingly. Try vitamin A.

2. Locally available corticosteroid ointment and estrogen ointment. Or use the following: diethylstilbestrol, borneol, menthol, qingdai, lanolin for ointment for external use.

3. Use electrocoagulation or freezing to treat skin lesions without obvious neoplasm. If there are vegetations, they should be removed.

4. In case of multiple skin lesions, it should be removed in principle.

5. Patients with cancerous changes should be surgically removed in time.