What is white vulvar lesion? White vulvar lesions are limited or diffuse white patches on the skin of women’s pubic area, which can be accompanied by vulvar itching, skin atrophy and even pain, commonly known as “vulvar leukoplakia” or “vulvar dystrophy”, and the common pathological types include vulvar sclerosing moss The common pathological types include vulvar sclerosing moss and vulvar squamous epithelial hyperplasia. What are the manifestations of white vulvar lesions? The most common symptom of white vulvar lesions is intense itching, which may be followed by pain caused by erosion, especially during urination, defecation and sexual intercourse. The lesions may involve the labia, perineum and perianal skin, and may cause atrophy or adhesion of vulvar structures, loss of labia minora and even narrowing of the vaginal opening. What are the causes of white vulvar lesions? The etiology of white vulvar lesions is unclear and may be multifactorial, including autoimmune factors, genetic factors, infectious factors, and chronic inflammatory stimulation of vulva. If accompanied by incontinence, Candida infection, contact dermatitis, etc., may aggravate the condition. Can white vulvar lesions become cancerous? White vulvar lesions have some correlation with vulvar cancer, but white vulvar lesions are not tumor lesions per se and cannot be called “precancerous lesions”. The cancer rate of white vulvar lesions can be up to 5%, but the risk of cancer can be significantly reduced with standardized treatment. V. Is white vulvar lesion contagious? The pathological examination of white vulvar lesions confirms that there is generally no bacterial or viral infection, which means that white vulvar lesions are not infectious and will not be transmitted through sexual life. What are the treatments for white lesions of the vulva? White vulvar lesions are a kind of local benign lesions. Currently, conservative treatment is preferred, including topical corticosteroids, vulvar focused ultrasound treatment and Chinese herbal medicine treatment, etc. Surgery can be considered when necessary. Will white vulvar lesions recur? It is difficult to treat white vulvar lesions, and the course of the disease is prone to recurrence. Therefore, long-term treatment and follow-up should be adhered to, and the medication should not be stopped easily on its own. How to prevent white lesions of vulva? Patients should keep the vulva clean and dry, prohibit the use of irritating drugs or soap to wash the vulva, generally use only warm water to wash, the water temperature should not be too hot, avoid wearing non-breathable chemical fiber underwear, loose, breathable cotton underwear is appropriate, avoid eating spicy and allergic food. At the same time, actively treat gynecological inflammation, such as mycosis fungoides, to reduce the inflammatory stimulation of the vulva.