Understanding Lichen Sclerosus: A Guide to Diagnosis, Symptoms, and Treatment
What isLichen Sclerosus?
The term “Lichen Sclerosus” combines “lichen,” meaning thick and scaly, and “sclerosus,” meaning scarring. This condition often presents as white, thin areas of skin that may appear like “cigarette paper,” and it can lead to severe scarring and narrowing of the vaginal opening and shrinkage of the labia minora. Lesions may also appear on other areas of the skin in about 11% of patients.
Possible Causes and Associations
Although the exact cause of Lichen Sclerosus is not fully understood, it is widely believed to be an autoimmune disorder. It is commonly associated with other autoimmune conditions such as autoimmune thyroid disease, alopecia areata, vitiligo, pernicious anemia, and lichen planus. Additionally, patients often have high levels of circulating auto-antibodies. Women with Lichen Sclerosus face a 4-6% risk of developing vulvar carcinoma, and this condition is found in over 60% of cases of squamous carcinoma of the vulva.
Symptoms and Impact on Quality of Life
Lichen Sclerosus can vary in severity, with some women experiencing no symptoms at all. However, many report intense itching, vulvar pain, orgasmic dysfunction and pain during intercourse. Studies reveal that women with Lichen Sclerosus are less likely to be sexually active compared to those without the condition. In fact, 79% of women with Lichen Sclerosus experience chronic vulvar pain, which significantly impacts their quality of life.
Diagnosing Lichen Sclerosus
A definitive diagnosis of Lichen Sclerosus requires a biopsy. This step is crucial as the characteristic pathological changes can be altered by treatment. It is essential to obtain the biopsy before starting any treatment to ensure accurate diagnosis.
Effective Treatment Options
The primary treatment for Lichen Sclerosus is the use of ultra-potent topical corticosteroid ointments, such as clobetasol propionate. Apply this ointment daily until all active disease has resolved. Regular follow-up appointments, every two to three months, are important to monitor progress and make adjustments to the treatment plan as needed. If areas of ulceration persist despite treatment, a biopsy may be necessary to rule out precancerous or cancerous growths. Once improvement is confirmed, the frequency of application can be reduced to once or twice per week. Other treatments consist of fractional Co2 laser, Radio Frequency energy, Carboxytherapy and surgery.
Living with Lichen Sclerosus
Lichen Sclerosus is a chronic condition, meaning ongoing treatment and management are essential, even when symptoms improve. Managing this condition proactively can help maintain quality of life and prevent further complications.
If you suspect you might have Lichen Sclerosus or have been recently diagnosed, consult with Dr Michael A Reed to discuss your symptoms and explore appropriate treatment options. Your health and comfort are paramount, and with the right care, you can effectively manage this challenging condition.
How to Choose Your Cosmetic Gyn
Dr. Michael A. Reed, a native of California, is a highly experienced physician with a deep commitment to empowering women. With over twenty years of expertise in obstetrics and gynecology, Dr. Reed has helped countless women overcome a wide range of conditions and concerns.
Patients choose Dr. Reed because of his exceptional surgical skills, unwavering professionalism, and personalized attention. He approaches patient care holistically, utilizing cutting-edge non-invasive technologies, optimizing hormone therapies, and prioritizing active listening to address his patients’ unique needs and desires.
Contact us today!
Dr. Michael Reed is board-certified by the American Board of Obstetrics and Gynecology with over 24 years of experience in Women’s Health, specializing in cosmetic gynecology. Known for his compassionate nature and skills in aesthetics, Dr. Reed has dedicated his career to mastering cosmetic gynecology. He completed an 18-month surgical fellowship in Labiaplasty, Vaginoplasty, Perineoplasty, and other aesthetic procedures related to female genital cosmetic surgery and vaginal rejuvenation with Dr. Michael Goodman. Dr. Reed is an esteemed OB/GYN who is a world-renowned and highly recognized author, educator, and expert in cosmetic gynecology.
Contact us today to reserve your appointment. We will listen to your concerns and give you the comfort and confidence you deserve. Fill out our secure and confidential form, and we will contact you immediately. Take the first step towards becoming a happier and healthier you!
Related Procedures
ThermiVa®
ThermiVa® is a non-surgical treatment designed to encourage collagen development and naturally tighten the skin and tissues of the labia, clitoral hood, and vagina.
Vampire Wing Lift®
Over time, the labia majora (the outer lips) can experience sagging and loss of fullness due to factors like childbirth, aging, or genetics.
Anal Skin Tag Removal
Anal skin tags are common, benign bumps around the anus can lead to itching, irritation, and even interfere with personal hygiene.
Fat Transfer to Vulva
AKA labia puffing, a non-invasive procedure can create a smoother, tighter, symmetrical, and more youthful appearance by adding volume to the labia majora.