Lichen Sclerosus

What is Lichen Sclerosus?

Lichen sclerosus is a rare condition that causes patchy, white skin that appears thinner than normal in the genital and anal areas. While anyone can experience this condition, it is most common in postmenopausal women.

While individuals with mild lichen sclerosus may not experience any signs or symptoms, those with more severe cases may experience:

• Itchiness
• Redness
• Pain or discomfort
• Tearing or bleeding
• Painful sex

What is the Cause of Lichen Sclerosus?

While the exact cause of lichen sclerosus is unknown, an overactive immune system or hormonal imbalance may play a role. Skin that has been previously damaged may also have an increased likelihood of developing this condition. It is not contagious and cannot be spread through sexual intercourse.

Lichen Sclerosus Treatment Options

The main goal of lichen sclerosus treatment is to improve the appearance of the skin, reduce itching, and decrease further scarring. Treatment options may include the following.

Corticosteroids

Topical corticosteroids are commonly prescribed for lichen sclerosus. Initially, patients may have to apply this cream or ointment to the affected skin twice a day, while after several weeks this is reduced to twice a week.

Other Treatment Options

In cases where topical corticosteroids are not effective, another ointment called tacrolimus (Protopic) may be prescribed. While surgery may be an option for men with this condition, it is not usually recommended for women as the lichen sclerosus may return after surgery.

Lifestyle and Home Remedies

There are some steps individuals can take to help keep their symptoms at bay. These include:

• Taking oral antihistamines before bed to control itching
• Taking sitz baths or using cool compresses on the area
• Gently washing and patting dry the affected area
• Applying lubricant such as petroleum jelly to the affected area

Platelet Rich Plasma

Platelet Rich Plasma (PRP) can be a very effective treatment for lichen sclerosus.  When applied to the affected area topically or directly into the skin, PRP has been shown to reduce scarring and improve the health of the vulvar tissue alleviating itching, inflammation and pain. PRP can be combined with MonaLisa Touch or ThermiVa to further enhance efficacy.

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At Tideline Center for Health & Aesthetics, we feel that each and every woman should feel confident in their body. If you are interested in learning more about lichen sclerosus treatment, contact our office today.

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