Doctor insights on:
Am I More Likely To Get Lichen Sclerosis If I Have Gone Through Menopause
Possibly: Lichen sclerosus is a skin disorder that occurs much more frequently in women than in men. It tends to occur most commonly when estrogen levels are low. Menopause is a time when estrogen levels decline. Fortunately, lichen sclerosus can be effectively managed using clobetasol, which is a steroid ointment. It is used sparingly during flares. ...Read more
The absence of menstrual periods for 12 months. During menopause, the ovaries stop producing estrogen and progesterone. After the complete transition into menopause, women can no longer get pregnant. The average age for menopause is 51 years old. Symptoms include dry vaginal tissue, irregular periods, hot flashes, mood ...Read more
Using clob/estrogen for lichen sclerosis -2 years constant fare ups- since menopause. Tried protopic. New dr. Started e&t and singular. Any feedback?
Clobetasol 0.05%: If it's biopsy proven lichen sclerosis, clobetasol seems to be the best treatment. Estrogen is only used for atrophy (thin dry mucosal surfaces from low estrogen). Usually ls is a long term condition but if all else has failed, use the Protopic with careful follow-up with your doc. Testosterone rarely helps long term. Good luck with singular, I've not tried this for ls, interesting idea. ...Read more
Is light spotting two years post menopause something to worry about. Using vagifem for lichen sclerosis. Normal pap two weeks ago?
I have lichen sclerosis, my treatment from the doctors doesn't seem to be working, how can I get rid of it?
Lichen Sclerosis: Ls&a (lichen sclerosis et atrophicus) is generally treated in the short run using high potency topical steroids such as clobetasol ointment. Protopic ointment is often used as an alternative to topical steroids for long term management. Consult a dermatologist to confirm the diagnosis and for further management. ...Read more
Yes: All the more reason to do so, since the chicken pox would may make the skin rash much more bothersome. ...Read more
Is VIN3 due the Lichen Sclerosis or HPV more likely to change to cancer? Dies one morph more quickly?
VIN-3 v. HPV: At 60, VIN-3 should be carefully followed, as it represents a change in the nucleus of cells on the vulvar area. HPV as a new onset is uncommon at your age, and is a viral condition acquired by sexual relations. If there is a history of HPV, and a normal pap smears, the chances of progression to cervical cancer are small. ...Read more
Diagnosed with Lichen sclerosis what medicine can I use to get rid of it. Using clobetasol propionate not helping for 3 wks?
Persistence: You are on the right medication. You should continue to use the clobetasol (2 or 3 times daily) - if your symptoms do not improve with 4 to 6 weeks of treatment with that medication, then return to your doctor for re-evaluation. Lichen Sclerosis can progress to a squamous cell cancer. ...Read more
Longstanding lichen sclerosis -get frequent atypical yeast infections only responds to oral fluconazole/returns 3-4 weeks after I stop meds. Why?
Diagnose 2 yrs ago w/ vulvar lichen sclerosis n 2008. Haven't bin ck'd since. Clitoris disapprng. Is this serious?
See a Doctor: Vaginal lichen sclerosis can cause serious problems such as permanent scarring. Most of the time it can be treated with high-potency (strong) topical steroids. Patients need monitoring as the skin is at increased risk for vulvar carcinoma (skin cancer). Most often it is treated by a dermatologist or gynecologist. ...Read more
Had Differeniated VIN2/3 removed 2x this past year. How do I determine if new white patches that come, go & reappear are lichen sclerosis or VIN?
You go see your doc: At the regular intervals they recommended. Usually every few months (like quarterly or so). If you aren't sure how often you need to be checked call and clarify. Best of luck and have a lovely day! ...Read more
Lichen Sclerosus: Corticosteroid ointments or creams are commonly prescribed for lichen sclerosus. Initially, you'll generally have to use cortisone creams or ointments on the affected skin daily. After several weeks, your doctor will likely recommend that you only use these medications twice a week to prevent a recurrence. Your doctor will monitor you for side effects associated with prolonged use. ...Read more
NO: Both are treatable and the treatments overlap. ...Read more
Minor skin problem: Most lichen planus just happens, and is managed by topical medicines such as glucocorticoids. It can be severe and/or effect the mouth and/or other mucosal surfaces. Some people who have lichen planus have it as a complication of hepatitis C and if the latter can be cured, the former remits. Otherwise, it's dumb luck. Hope you are able to have it managed. ...Read more
Yes: The problem is not infectious. However, it sometimes makes the vulvar skin susceptible to small lacerations. ...Read more
I've tried Ani itch cream for lichen sclerosis which went helped much. What causes this and is there a cure?
Here are some. ..: The exact mechanism to cause lichen sclerosus is still unclear although some microscopic finding of chronic inflammation and scarring of skin has been observed. As a result, there has been no known specific treatment for it but "empirically" using topical steroid or some agents to suppress inflammation. I'm sure some effort to discover more specific, effective agents being under way. But when? ...Read more
10 months post op VIN2 secondary to 27 years of lichen sclerosis. Clear margins obtained. No evidence of new VIN. How long before VIN risk subsides?
Instructions.: Usually risk of new development of disease subside after 1- or more stable 2 years. Please, keep treatment as prescribed. ...Read more
My consultant said that the pale and whitish in parts is not lichen sclerosis what else could it be I am sixty five?
See below: Need more info: where is the lesion located? How long there? What does it look like—distinct borders, scaly, elevated, dimpled, size? What treatment (s) have been tried? Please resubmit question with added info to help us better supply an answer. ...Read more
New Option: The Monolisa CO2 laser represents a new approach to lichen sclerosis which is typically treated with Estrogen or topical steroid cream. A few studies have been done but there is not enough data for a definitive answer. A few of the studies are listed here: http://www. Monalisatouch. Com/scientific-area/ ...Read more
Very uncommon in men: Urologists call it balanitis xerotica obliterans. It is like leathery white skin which does not stretch. Most commonly affects foreskin ; thus seen mostly in uncircumcised men ; strong indication for circumcision. Occasioanlly affects penile glans, especally aound urethral meatus causing meatal stenosis. Needs 2B excised when causing small contracted opening or constricting glanular urethra. ...Read more
A condition characterized by itchy, pale, fragile patches of skin usually involving the external genitalia and perianal areas, but occasionally seen on the breasts or elsewhere. Most common in postmenopausal women, occasionally seen children and men. Untreated ls can cause permanent scarring so proper diagnosis ...Read more
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