How to treat and heal a ruptured vulva

Vulvar ulceration is quite common in our daily life and there are many reasons for it. For example, vaginal itching can cause involuntary scratching, which can easily lead to this phenomenon. If women do not pay attention to diet adjustment for vulvar ulceration, it will have a great impact on their health. At this time, local anti-inflammatory treatment with topical drugs is necessary. If the condition is more serious, systemic treatment and some oral medications should be carried out.

1Treatment of acute vulvar ulcer

Vulvar ulcers

(1) Local treatment:

① Local symptomatic treatment: Keep the vulva clean and dry and reduce friction. Take a sitz bath with 1:5000 potassium permanganate solution. Ulcers caused by nonspecific vulvitis can be treated with topical antibiotic ointment. Other ulcers should be treated according to their different causes. Rinse the affected area with 0.1% ethacridine solution or apply a wet compress. Applying neomycin, chloramphenicol, gentamicin, or dyclonine ointment or cream externally or adding the above drugs to wet compresses for wet compresses can be helpful.

② Glucocorticoid ointment is better used during the recovery period of ulcer.

③Ultraviolet light and helium-neon laser irradiation have certain therapeutic effects.

(2) Systemic treatment:

① Oral administration of vitamin B complex and vitamin C and systemic application of antibiotics have a certain therapeutic effect on the disease; for gangrenous type, systemic application of glucocorticoids and antibiotics can be used.

② Intramuscular injection of human immunoglobulin can enhance the body's resistance and promote the disappearance of skin lesions.

(3) Treatment with traditional Chinese medicine:

①Apply indigo powder and tin powder locally.

② Grind realgar into fine powder, sterilize it under high pressure, mix it with glycerin, add a few drops of 1% tetracaine solution, and make it into a paste. During treatment, first apply a cotton ball with 1% tetracaine solution to the ulcer surface for 3 to 10 minutes to relieve pain, and then lightly apply realgar glycerin paste on the ulcer. 23 cases were treated and the healing time was 42 days on average.

③ When there are purulent secretions and necrotic tissues in the vulvar ulcer, apply purple carbuncle ointment (containing 9g each of talcum powder, rouge, amber powder, agarwood powder, and blood scorpion, 0.9g each of borneol and calcined pearl powder, 30g of beeswax, and 120ml of sesame oil) externally.

④ The treatment principle is to strengthen the spleen, clear away heat, detoxify and eliminate dampness: use Dixie Shenshi Decoction (Diixie, raw coix seed, Phellodendron, Poria, Moutan bark, Alisma, Talcum, Smilax glabra). In case of high fever, add Baihu Decoction. In case of leucorrhea, add more wild yam.

Classification of vulvar ulcers

1. Acute vulvar ulcer

Ulcers often occur after scratching or when scars break. They are generally superficial, but the pain is severe, accompanied by fever, general discomfort, and swollen inguinal lymph nodes, but most of them can heal on their own. Acute vulvar ulcers caused by Behcet's disease are often severe, with severe redness and swelling at the ulcer site, irregular ulcer edges, digging, severe pain, and yellow pus on the ulcer surface, or the formation of a pseudomembrane. Pus and pseudomembrane were removed and the ulcer base was uneven. Ulcers can develop rapidly and may cause damage to the labia minora, known as the gangrenous type. Another more common type is called the non-malnutrition type, which has milder symptoms, a slower course of disease, and more numerous and shallow ulcers that often heal within a few weeks. However, new ulcers will appear near the old ulcers after they heal.

2. Chronic vulvar ulcer

Chronic vulvar ulcers are mostly caused by tuberculosis and cancer, and are prone to occur in the labia, vestibule mucosa, clitoris, etc. The ulcers are small, shallow, irregular in shape, with an uneven base, and are painless, but can cause severe pain after being irritated by urine and friction. It is often necessary to make a pathological section and place it under a microscope to distinguish what type of ulcer it is.