Kraurosis vulva – the name is somewhat mysterious, a little foreign. In reality, chronic dystrophic, atrophic changes in the external anatomical section of the female genital organs are hidden behind it. At the same time, the pathology is considered not yet sufficiently studied, which makes it difficult to choose a treatment regimen. However, modern medicine is perhaps capable of offering an innovative method for correcting negative changes.
What is what?
Chronic dystrophic, atrophic diseases of the vulva (labia majora and small labia, pubis, clitoris, vestibule of the vagina), even in the 21st century, are among the least studied diseases. This fact determines the presence of many names used to define tissue changes: “kraurosis of the vulva”, “lichen sclerosus”, “sclerotic dermatitis”, “lichen sclerosus”, “atrophic vulvitis”, “hyperplastic vulvitis”, “simple chronic lichen”, ” bluish atrophy “. A generalized term that is often used by experts sounds like a non-neoplastic disease of the vulva. Dermatologists, gynecologists, endocrinologists, and oncologists are involved in the treatment of disorders. However, you must agree, you will turn to a specialist in skin diseases or cancerous tumors, in the event that discomfort arises in the perineal area, which is much more difficult than to the attending gynecologist.
What are the concepts?
Dystrophy is a process leading to a change in the normal function of an organ associated with a violation of metabolic processes.
Atrophy is tissue depletion caused by a decrease in the vital activity of body cells, provoking ischemia (disruption of blood supply), leading to a decrease in tissue or organ, pathological changes in function.
In diseases, and, in particular, with kraurosis of the vulva, both negative tendencies can be combined, provoking atrophy of the labia majora and small labia, inflammatory changes in the vulva, vulvar cracks. That may be accompanied by urological disorders, prolapse and prolapse of the uterus, a decrease in the quality of sexual life, which is due to narrowing of the vagina, atrophy of the clitoris. According to medical sources, pathology is often considered a precancerous disease. Therefore, effective therapy of dystrophic, atrophic processes can act as a preventive measure for the occurrence of vulvar cancer.
What is provoking?
Factors predisposing to the development of pathological processes can be:
the onset of peri- and postmenopause, and the concomitant hormonal changes occurring in the woman’s body; at the same time, the question remains open why, against the background of age-related changes in some women, changes in the state of the genital tissues are compensated, while in others they lead to the development of kraurosis;
disturbances in the functioning of the nervous system, stress;
human papillomavirus (HPV) infection;
shortened reproductive period (late puberty, early menopause);
hormonal disruptions, endocrine disorders (hypoestrogenism, diabetes mellitus, obesity);
non-compliance with a personal hyena (among provocateurs, doctors also call wearing synthetic underwear);
infectious factor (candidiasis).
The number of cases of the disease, according to various sources, varies and ranges from 1 in 300 to 1 in 1000 women.
What will make you go to the doctor?
The main symptom of vulvar kraurosis is severe chronic itching, which is difficult to stop with medication. In addition, the appearance of white spots at the site of tissue damage is noted. If this discomfort occurs, it is important to seek immediate medical attention. The course of dystrophic processes can be stopped in a timely manner.
What can help?
Until recently, the main methods of therapy for non-neoplastic diseases of the vulva were considered:
Diet therapy – limiting the consumption of spicy, salty, sweet foods, excluding alcohol and coffee. In other words, foods that can intensify or provoke itching.
Appointment of corticosteroid ointments with anti-inflammatory, antihyperplastic, antiallergic effect. However, the disadvantage of their appointment is the impossibility of long-term use due to the risk of cicatricial changes.
Local hormonal agents (estrogen https://en.wikipedia.org/wiki/Estrogen drugs) have anti-inflammatory and antipruritic effects.
Applications of ozonated olive oil, which has a bactericidal effect and enhances tissue nutrition.
Laser therapy using fractional CO2 laser.
All of the listed therapeutic measures are aimed at improving the condition of the external genital organs, eliminating local inflammation and eliminating the patient’s active complaints, but they cannot completely cure the disease. In some cases, surgical treatment is also indicated, plastic surgery to restore the vulva.