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Doctor insights on: Vulvar Lichen Sclerosus Treatment

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Can lichen sclerosus cause anal fissures? I have LS confirmed by biopsy on vulva & perineum with fissures but wondered if anal fissures are LS related?

Can lichen sclerosus cause anal fissures? I have LS confirmed by biopsy on vulva & perineum with fissures but wondered if anal fissures are LS related?

Probably not: I see a lot of people with anal fissures, but not one of them has had lichen sclerosis to my knowledge. The fissures are usually caused by constipation. Sometimes they improve spontaneously, sometimes they require a short operation. ...Read more

Dr. Robert Harris
82 Doctors shared insights

Lichen Sclerosus (Definition)

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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White blotches on vulva. Extremely itchy, intense at night. Scratched so much, made it worse. Have pics. Not std, lichen sclerosus? Pics available

White blotches on vulva. Extremely itchy, intense at night. Scratched so much, made it worse. Have pics. Not std, lichen sclerosus? Pics available

See professionals...: What you described may be an intractable skin condition, manageable but not curable. See a competent trustworthy dermatologist timely. Meanwhile, topical use of Hydrocortisone cream for 1-2 weeks may ease itch, but preferably under professional supervision.

Best wish... ...Read more

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Are there any treatments for lichen sclerosus?

Are there any treatments for lichen sclerosus?

Steroid ointment: High potency steroid ointment can be curative for this process so check with your doctor for an evaluation. ...Read more

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What are your treatment options for lichen sclerosus?

What are your treatment options for lichen sclerosus?

Lichen Sclerosis: Corticosteroid ointments, Immune-modulating agents such as Tacrolimus, Ultraviolet Light Therapy, Circumcision in males in resistant cases. ...Read more

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What emollient cream do I use for lichen sclerosus?

What emollient cream do I use for lichen sclerosus?

Steroid cream: Lichen sclerosus is poorly understood as far as a cause. It does respond, however, to high potency steroid cream. The most commonly used cream is called clobetasol. It is probably best used as an ointment and is available only with a prescription. Talk to your ob/gyn! ...Read more

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Please help docs! Is lichen sclerosus related to scleroderma?

Please help docs! Is lichen sclerosus related to scleroderma?

Lichen sclerosus: Read this:

http://www. Niams. Nih. Gov/health_info/lichen_sclerosus/default. Asp.

Get a more detailed answer ›
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What is the definition or description of: lichen sclerosus?

Pale itchy patches: Lichen sclerosus appears as 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 and treatment is essential. ...Read more

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How can I get rid of lichen sclerosus?

How can I get rid of lichen sclerosus?

Genital L. sclerosis: Best managed by GYN Dr. Lichen sclerosis most often involves genital skin and tends to develop after menopause. Prescription strength corticosteroid creams or ointments used daily for quite some time usually helps. U may need to follow-up using cream couple of times/week. Some need medication to affect body's immune response like tacrolimus or primecrolimus. ...Read more

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How can I tell my mom I 'think' I have lichen sclerosus?

How can I tell my mom I 'think' I have lichen sclerosus?

Here are some. ..: Lichen sclerosus is a chronic skin disorder of unknown causes affecting genital area. It's of no reason for not telling your mom about it if personal necessity does still exist for one at 44. So, you decide it since it's not a matter of life or death. ...Read more

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Can you tell me is lichen sclerosus related to scleroderma?

Can you tell me is lichen sclerosus related to scleroderma?

Absolutely not: Be sure to treat lichen sclerosis. It can make you miserable and can lead to skin cancer.But it is treatable with very high rate of success. ...Read more

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Can you tell me how to tell my mom I 'think' I have lichen sclerosus?

See a dermatologist: See the DR first. Trust a skin specialist to define it for you. Then you can tell your mother or not tell her according to how you feel about it. ...Read more

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Can nerve sensations go hand in hand with lichen sclerosus?

Can nerve sensations go hand in hand with lichen sclerosus?

Yes: Absolutely. Lichen sclerosis usually causes itching and skin irritation and this my lead to excessive scratching and pain. All of these sensations are mediated by nerves in the area so nerve sensations a lichen sclerosis commonly occur together. ...Read more

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Can you tell me any personal experience with lichen sclerosus?

Can you tell me any personal experience with lichen sclerosus?

Here are some. ..: Lichen sclerosus is a skin atrophic change usually seen in the glans penis and commonly related with long-tight foreskin with recurrent chronic inflammation, but not always necessarily, and may cause urethral opening to narrow with retrotrusion resulting in so-called urethritis xerotica obliterans, which requires generous meatotomy and subsequent meatal dilation to keep it open. More? Ask Doc time ...Read more

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I have lichen sclerosus quite bad I've tried various meds but nothing helped can you advise me what to do?

Dermatology consult: Dermatogists are best to tx this rare condition. We can prescribe certain steroidal and hormonal creams that are usually effective. ...Read more

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Does lichen sclerosus usually have many symptoms?

Does lichen sclerosus usually have many symptoms?

Sometimes: Vulvar burning and itching are very common and the skin can become very thin and have a whitish appearance sometimes. ...Read more

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Can you tell me how to treat extra-genital lichen sclerosus?

Can you tell me how to treat extra-genital lichen sclerosus?

Here are some. ..: Since lichen sclerosus (LS) is an intractable skin disorder of unknown etiology, its mainstay of care remains symptomatic with judicious use of topical steroid cream. It's treatable but not curable. More? Ask treating dermatologist timely. ...Read more

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I have just got rid of a Bartholins cyst but now have a hard lump on my clitoris, I also have lichen sclerosus which is under control at the monent?

I have just got rid of a Bartholins cyst but now have a hard lump on my clitoris, I also have lichen sclerosus which is under control at the monent?

See doctor: The hard lump on the clitoris needs to be examined to see what it might be. Not likely something bad, but still should get checked out. ...Read more

Dr. James Lin Dr. Lin
1 doctor agreed:
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White patches of skin on penis head, told its lichen sclerosus by a doctor. I did two courses (30 days each) of clobetasol propionat 0.05% no effect.

Dr. James Lin Dr. Lin
1 doctor agreed:
White patches of skin on penis head, told its lichen sclerosus by a doctor. I did two courses (30 days each) of clobetasol propionat 0.05% no effect.

Bothering you?: Such skin change is not curable but manageable if symptomatic. Nonetheless, without a detailed history about its onset, duration, degree, progress, evolution, and sequence of events of all symptoms + a direct look at, it is hard to offer accurate diagnosis and advice. So, with these in mind, seek evaluation. ...Read more

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Can lichen sclerosus happen to a circumcised penis as I been on numerous creams lotions over the years and biospy showed post inflammatory changes?

Can lichen sclerosus happen to a circumcised penis as I been on numerous creams lotions over the years and biospy showed post inflammatory changes?

Yes: This is a diagnosis seen on the head (glans) of the penis, typically young boys. Antihistamine does not reduce the itch and does nothing for this. Hydrocortisone cream is fine if it helps, but probably won't. Best remedy is clobetasol ointment. If it helps, you may need it for a long time. Circumcision is not relevant. ...Read more

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Are there any blood tests to see what causes genital lichen sclerosus? My doc did a biopsy. What do they look for?

Are there any blood tests to see what causes genital lichen sclerosus? My doc did a biopsy. What do they look for?

No blood test: Lichen sclerosis is a biopsy diagnosis not a blood test diagnosis. Generally the pathologist sees atrophic changes of the skin- there is a thinner epidermis with a thicker collagen area and there may be some inflammation. it is more common post menopausally and may respond to topical estrogens. It is a benign condition. ...Read more

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Do I need a treatment for lichen sclerosis?

Do I need a treatment for lichen sclerosis?

Consider it: Lichen sclerosis, especially in the genital area, can be quite painful and destructive over time. Treatment can help stop this. ...Read more

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I have lichen sclerosis, my treatment from the doctors doesn't seem to be working, how can I get rid of it?

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

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Can you tell me of a treatment other than steroid cream for lichen sclerosis?

Can you tell me of a treatment other than steroid cream for lichen sclerosis?

Here are some. ..: Since the real cause for lichen sclerosus (LS) is still unclear, no specific Rx for cure is available. However, under certain circumstances, its precipitating factor could be potentially identified or modified such as recurrent balanoposthitis with long tight foreskin. So, seek pro-evaluation and counseling preferably by urologist or dermatologist timely. Best wishes... ...Read more

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What are differential diagnoses for lichen sclerosis without white spots? And alternative treatment methods for lichen sclerosis? Allergic to Dermovate

Diagnosis: Lichen sclerosis is a diagnosis. Differential diagnoses are the possible diagnoses for a set of symptoms. To give you a differential diagnosis we would need to know your symptoms. The definitive diagnosis of lichen sclerosis is made by biopsy. Hope this helps. ...Read more

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What's your pref. Treatment 4 body/vulvar lichensclerosis? Clobetasol, protopic, or something else?

What's your pref. Treatment 4 body/vulvar lichensclerosis? Clobetasol, protopic, or something else?

Clobetasol: Treating lichen sclerosis generally requires a highly potent steroid like clobetasol. This is an especially good choice when lichen sclerosis is located on the vulva as clobetasol will not cause any long term skin changes to this fragile tissue area. ...Read more

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What's your pref. Treatment 4 body/vulvar lichensclerosis? Clobetasol, protopic, or something else?

What's your pref. Treatment 4 body/vulvar lichensclerosis? Clobetasol, protopic, or something else?

Topical steroids: Topical steroids would be first line treatment but this condition is difficult to control in some people. Injections of kenalog (triamcinolone) may be more effective and pro topic ointment could be used intermittently with the steroids to miniimize thinning of the skin. An old treatment which needs to be compounded is 2% testosterone propionate in aquaphor which does not cause thinning of the skin. ...Read more

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Diagnose 2 yrs ago w/ vulvar lichen sclerosis n 2008. Haven't bin ck'd since. Clitoris disapprng. Is this serious?

Possibly: Lichen sclerosis can cause significant genital scarring. Likely that is what is occurring to you. I would recommend that you follow up with you gynecologist for further evaluation and treatment. ...Read more

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Help me interpret vulvar biopsy. Focal squamous atypia. Ki-67 shows mild increase cell proliferation focal vin can't be excluded. Lichen sclerosis?

Nothing serious yet: This report suggests slightly abnormal changes (atypia & increased cell proliferation) which can be a reaction to irritation but there is no definitive evidence of precancerous change (VIN). In short there is nothing to worry about right now unless you are concerned and you'd like a second opinion ...Read more

Vulva (Definition)

The external female genitalia including the mons pubis, labia majora and minor, clitoris, vestibule, ...Read more