Kraurosis vulva: symptoms, diagnosis treatment

Progressive diffuse atrophy of the labia (vulva vulgaris, atrophic leukoplakia, leukoplakian vulvitis, limited scleroderma) is a disease characterized by atrophy, sclerosis of the skin and mucous membranes of the labia. Very often in the generalized process, the vagina is affected.

The disease is most often recorded in the climacteric period, which is due to inadequate production of sex hormones in the ovary. It has been established that ovarian tissue transplantation positively influences the course of atrophic leukoplakia. Some physicians believe that leukoplakic vulvitis is one of the forms of atrophic and sclerosing lichen, which is localized on the genitals.

Vulgar vulgaris: symptoms

An early symptom of the disease is severe itching in the genital area. As a result of atrophic processes, small labia and clitoris first begin to wrinkle (atrophy), after which large labia, inguinal folds and perineum are involved in the process. The hair cover in the area of the large labia becomes very scarce. Over time, the entrance to the vagina narrows, and therefore sexual intercourse is very painful, and in the future and completely impossible. In the cracks and abrasions formed, the pathogenic microflora easily penetrates, which facilitates the appearance of expressions in the labia. Very often kraurosis of the vulva is accompanied by leukoplakia. Until recently, many specialists considered leukoplakia to be a certain stage in the development of kraurosis. Currently, these two pathologies are considered as independent diseases.

Diagnosis is established by history, visual examination and colposcopy. Diffuse atrophy of the vulva must be differentiated from other diseases (essential itch, red flat lichen, senile atrophy of the vulva, vitiligo, neurodermatitis). Due to the targeted biopsy of the affected tissues, it is possible to differentiate the skin diseases of the genital organs. The histological picture of the altered mucosal skin of the vulva and vagina corresponds to atrophy. The tissues of the genitals become denser, which is associated with a decrease in the number of elastic fibers and an increase in collagen.

Kraurosis vulva: treatment

Assign hormone-containing ointments (10% emulsion of synthomycin, 5% solution of testosterone propionate, 0.1% solution of estradiol dipropionate). In the II phase of the menstrual cycle, 0.15% progesterone cream is used. A good therapeutic effect, especially with secondary inflammatory reactions, is obtained with the use of ointments with glucocorticoids (preparations "Sinalar", "Lokakorten-N", "Sinaflan", etc.). Using phonophoresis (ultrasound), glucocorticoids are injected through intact skin and mucous membranes.

Older patients are prescribed oral steroid hormones of local action (estriol, gestagens, oxyprogesterone capronate). Patients are also prescribed biostimulating agents (apilac, FIBS, aloe extract), vitamins (retinol, tocopherol).

Beneficial effect is provided by warm baths lasting up to fifteen minutes with infusion of chamomile. During pruritus, doctors recommend the use of ointments with anesthetic and desensitizing action (for example, including anesthesin or diphenhydramine). Inside take the drugs "Suprastin", "Dimedrol", etc. With pronounced itching and burning make novocaine infiltration blockade (0.25 solution of novocaine and 0.1% solution of adrenaline hydrochloride). When wet wounds apply tampons soaked rivanolom, antibiotics, furatsilinom.

Some diseases of the genital organs are treated with a laser. A radical method of treating diffuse atrophy of the labia is vulvectomy.