Materiały źródłowe

• #1 Lichen Sclerosus—Presentation, Diagnosis and Management

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4904529/

  Lichen sclerosus is a chronic inflammatory skin disease. It is thought to be underdiagnosed and undertreated. If it is not treated, lichen sclerosus is associated with a greater degree of scarring and an elevated risk of cancer in the genital area. […] The treatment of first choice is the local application of high-potency corticosteroids as early as possible (1/A). For boys and men in whom the condition does not remit after steroid treatment, circumcision is indicated (3/D). […] Anogenital itching and clinical features such as erythema, white skin changes (such as hyperkeratosis and sclerosis), and fissures should arouse suspicion of lichen sclerosus. The diagnosis should be confirmed with a skin biopsy, and early, thorough treatment should be initiated. In this way, a mutilating disease course can be averted, and the risk of cancer can be lessened.

• #1 Lichen Sclerosus—Presentation, Diagnosis and Management

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4904529/

  The recommended initial treatment of lichen sclerosus is a three-month application of potent to ultrapotent topical corticosteroids (level of evidence 1+/grade of recommendation A) (3, e12). Randomized studies show that application of potent to ultrapotent topical corticosteroids significantly improves lichen sclerosus in 75 to 90% of patients, compared to roughly 10% in placebo groups (3, e12). […] If the initial three-month treatment with topical steroids does not lead to the desired full remission in male patients with genital lichen sclerosus, a complete circumcision should be recommended, especially in uncomplicated cases in early stages (without involvement of meatus and urethra) (level of evidence 3/grade of recommendation D) (10). This procedure is reported to lead to permanent, lifelong remission (recovery) in 90 to 100% of cases.

• #1 Lichen sclerosus – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/lichen-sclerosus/diagnosis-treatment/drc-20374452

  Your health care provider may diagnose lichen sclerosus by looking at the affected skin. You may need a biopsy to rule out cancer. You may need a biopsy if your skin doesn’t respond to steroid creams. A biopsy involves removing a small piece of affected tissue for examination under a microscope. […] With treatment, symptoms often improve or go away. Treatment for lichen sclerosus depends on how severe your symptoms are and where it is on your body. Treatment can help ease itching, improve how your skin looks and decrease the risk of scarring. Even with successful treatment, the symptoms often come back. […] Steroid ointment clobetasol is commonly prescribed for lichen sclerosus. At first you’ll need to apply the ointment to the affected skin twice a day. After several weeks, your health care provider will likely suggest that you use it only twice a week to prevent symptoms from returning.

• #1 Lichen sclerosus: An overview – Medical Independent

  https://www.medicalindependent.ie/clinical-news/lichen-sclerosus-an-overview/

  Lichen sclerosus tends to be a progressive condition. However, with proper treatment and management, disease progression can be slowed or halted, and symptom relief can be achieved. […] Treatment aims to alleviate symptoms and prevent complications such as atrophy, scar formation, anatomical distortion, as well as malignant transformation, and improve quality of life. Management strategies can vary depending on the severity of symptoms, age, and gender. Patients should be educated about the condition and encouraged to avoid the use of irritating products such as soap in the area, and to use emollients to break the itch-stretch cycle. […] For genital lichen sclerosus, the gold standard treatment is three months application of high-potency topical steroids, eg, clobetasol propionate. Apply once daily, at night, for four weeks, then on alternate nights for four weeks, and then twice weekly for a further four weeks, before review.

• #1 Lichen sclerosus – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/lichen-sclerosus/diagnosis-treatment/drc-20374452

  Your health care provider will monitor you for side effects associated with prolonged use of topical corticosteroids, such as further thinning of the skin. […] In addition, your health care provider may recommend a calcineurin inhibitor, such as tacrolimus ointment (Protopic). […] Ask your health care provider how often you’ll need to return for follow-up exams likely once or twice a year. Long-term treatment is needed to control itching and irritation and prevent serious complications. […] Your health care provider might recommend removing the penis foreskin (circumcision) if the opening for urine flow has been narrowed by lichen sclerosus. […] If you have symptoms of lichen sclerosus, make an appointment with your health care provider. You may be referred to a specialist in the diagnosis and treatment of skin conditions (dermatologist).

• #1 Lichen sclerosus: Causes, Diagnosis, and Images – DermNet

  https://dermnetnz.org/topics/lichen-sclerosus

  Most patients will be told to apply the steroid ointment once a day. […] The doctor should reassess the treated area after a few weeks, as a response to treatment is quite variable. […] It is most important to follow instructions carefully and to attend follow-up appointments regularly. […] Surgery is essential for high-grade squamous intraepithelial lesions or cancer. […] In females, the release of vulval and vaginal adhesions and scarring from vulval lichen sclerosus may occasionally be performed to reduce urination difficulties and allow intercourse if dilators have not proved effective. […] Long-term follow-up is recommended to monitor the disease, optimise treatment and ensure early diagnosis of cancer.

• #1 Lichen Sclerosus—Presentation, Diagnosis and Management

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4904529/

  For many patients, especially for women and girls, a long-term treatment lasting for years or even decades is reasonable (often necessary), even if there are few complaints. It has been shown that individually adapted long-term treatment with corticosteroid applications, e.g. twice a week, resulted in the suppression of symptoms in 93.3% of compliant patients versus 58% of partially compliant patients and prevention of scarring (adhesions/scarring occurred in 3.4% of compliant patients versus 40% of partially compliant patients) in female patients evaluated after an average follow-up time of 4.7 years (range, 2.0 to 6.8 years) (women: level of evidence 1+/grade of recommendation A; men and girls 3/D; boys 2+ to 1+/B) (2, 30). […] A follow-up is generally advisable three months after initial treatment; after that, follow-up intervals should be dependent on severity of disease and individual circumstances. Independent of complaints, a follow-up should be made for years every six to twelve months. In case of any alterations or an indication of malignant transformation (patients should be informed and instructed!), follow-ups need to be made in shorter intervals (2).

• #1 Lichen sclerosus – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/lichen-sclerosus/symptoms-causes/syc-20374448

  Lichen sclerosus is a condition that causes patchy, discolored, thin skin. It usually affects the genital and anal areas. […] Treatment is usually a medicated ointment. This treatment helps return the skin to its usual color and reduces the risk of scarring. Even if your symptoms clear up, they tend to come back. So you’ll likely need long-term follow-up care. […] See your health care provider if you have symptoms of lichen sclerosus. […] If you’ve already been diagnosed with lichen sclerosus, see your health care provider every 6 to 12 months. These visits are important to check for any skin changes or side effects of treatment.

• #1 Gynaecology – Lichen Sclerosus :: Northern Care Alliance

  https://www.northerncarealliance.nhs.uk/patient-information/patient-leaflets/gynaecology-lichen-sclerosus?q=%2Fpatient-information%2Fpatient-leaflets%2Fgynaecology-lichen-sclerosus

  Lichen Sclerosus increases your risk of getting cancer of the vulva, penis or anus. The risk is low but its a good idea to check yourself regularly and see your GP if you have any concerns. Symptoms to look for include a lump, a change in skin texture, such as thickening, or an ulcer that does not go away. […] There are 3 main components to the management of Lichen Sclerosus (British Association of Dermatologists). […] Topical corticosteroids include an initial three month course of ultrapotent topical corticosteroids (e.g. clobetasol, proprionate (Dermovate ointment)). The treatment is one finger-tip unit (from the tip of the finger to the first crease) nightly for 4 weeks and then twice a week for 4 weeks. […] Regular use of emollients (e.g. Cetraban). These are used to moisturise and smooth the skin. They can be used to provide a barrier to potential irritants (e.g. urine) and keep the skin hydrated. It is also important to perform monthly self-examinations of your vulva to ensure there is no abnormal changes to your vulva.

• #1 Lichen sclerosus | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/lichen-sclerosus

  Your health care provider will monitor you for side effects associated with prolonged use of topical corticosteroids, such as further thinning of the skin. […] Ask your health care provider how often you’ll need to return for follow-up exams likely once or twice a year. Long-term treatment is needed to control itching and irritation and prevent serious complications. […] These self-care tips may help ease skin irritation: Apply petroleum jelly (Vaseline, Aquaphor, others) to the affected area. Gently wash the affected area daily and pat dry. Use mild unscented soaps and avoid bathing too much. Ease burning and pain with a bath in the morning and at night, with water that’s comfortable to the touch. Don’t add bubble bath or other products. Take an oral antihistamine at bedtime to help control the itching as you try to sleep. Use soft unscented toilet paper without dyes. Avoid irritants, such as tight clothing and scented detergents. […] If you have symptoms of lichen sclerosus, make an appointment with your health care provider. You may be referred to a specialist in the diagnosis and treatment of skin conditions (dermatologist).

• #1 Lichen Sclerosus: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.lichen-sclerosus-care-instructions.abq4840

  Lichen sclerosus is usually treated with strong prescription cream or ointment. The medicine stops the inflammation, but the scarring of the skin doesn’t go away. Those with scarring from advanced cases on the tip of the penis may have surgery to remove the foreskin. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Be safe with medicines. If your doctor prescribed a cream, apply it exactly as directed. Call your doctor if you think you are having a problem with your medicine. […] Put cold, wet cloths on the area to reduce itching. […] Wear loose-fitting clothes. Avoid nylon and other fabric that holds moisture close to the skin. This may allow an infection to start.

• #1

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abq4840

  Lichen sclerosus is usually treated with strong prescription cream or ointment. The medicine stops the inflammation, but the scarring of the skin doesn’t go away. Those with scarring from advanced cases on the tip of the penis may have surgery to remove the foreskin. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Be safe with medicines. If your doctor prescribed a cream, apply it exactly as directed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] Put cold, wet cloths on the area to reduce itching.

• #1

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abq4840

  Wear loose-fitting clothes. Avoid nylon and other fabric that holds moisture close to the skin. This may allow an infection to start. […] If your doctor told you to use non-prescription moisturizing cream on your skin, read and follow the directions on the label. […] Do not douche, unless your doctor tells you to. […] Avoid hot baths. Don’t use soaps or bath products to wash the area around your vulva. Rinse with water only, and gently pat the area dry. […] Keep your penis clean. If you haven’t been circumcised, gently pull the foreskin back to wash your penis with warm water. Make sure your penis is dry before you get dressed. […] Call your doctor or nurse advice line now or seek immediate medical care if you have symptoms of infection, such as: Increased pain, swelling, warmth, or redness. Red streaks leading from the area. Pus draining from the area. A fever. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: The affected area grows or changes. You have new or worse symptoms. You do not get better as expected.

• #1

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=acd6463

  Lichen sclerosus is usually treated with prescription cream or ointment, such as a steroid medicine. Treatment is important. That’s because without treatment, the skin can thicken and scar. This can make using the toilet difficult and painful. If scar tissue forms, it may need to be removed with surgery. […] Follow-up care is a key part of your child’s treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if your child is having problems. It’s also a good idea to know your child’s test results and keep a list of the medicines your child takes. […] Be safe with medicines. If the doctor prescribed a cream, apply it exactly as directed. Call your doctor or nurse advice line if you think your child is having a problem with the medicine.

• #1 More information about Pediatric Vulvar Lichen Sclerosus – Great Neck, NY: Adolescent Young Adult Medicine of Great Neck

  https://www.tragermd.com/contents/services/lichen-sclerosus/pediatric-vulvar-lichen-s

  If your daughter has been diagnosed with vulvar lichen sclerosus or you suspect she may have it, ours is the center for you. […] Dr. Trager provides expert care for patients with vulvar lichen sclerosus from childhood through the young adult years. […] Lichen sclerosus is fairly easy to diagnose by clinicians familiar with the disease and good treatment is available. However, lichen sclerosus can sometimes be difficult to manage and may have complications. The best way to keep lichen sclerosus under control is to learn about the disease and to work with a health care provider experienced in managing it. […] The most effective treatment for lichen sclerosus in young girls is the topical application of one of the prescription steroid creams. Certain non-steroid creams have also been used. The improvement in a girl’s pain and itching is dramatic as is the healing of her vulva. Even if the disease is causing her little or no symptoms it should be treated to help prevent scarring.

• #1

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=acd6463

  Put cold, wet cloths on the area to reduce itching. […] Help your child choose loose-fitting clothes. Avoid nylon and other fabric that holds moisture close to the skin. […] Avoid hot baths. Don’t use soaps or bath products to wash the area around your child’s vulva. Rinse with water only. Then gently pat the area dry. […] Keep your child’s penis clean. If your child hasn’t been circumcised, gently pull the foreskin back (if you can) to wash the penis with warm water. Make sure the penis is dry before your child gets dressed. […] Call your doctor or nurse advice line now or seek immediate medical care if your child has symptoms of infection, such as: Increased pain, swelling, warmth, or redness. […] Watch closely for changes in your child’s health, and be sure to contact your doctor or nurse advice line if: The affected area grows or changes. Your child has new or worse symptoms. Your child does not get better as expected.

• #1 More information about Pediatric Vulvar Lichen Sclerosus – Great Neck, NY: Adolescent Young Adult Medicine of Great Neck

  https://www.tragermd.com/contents/services/lichen-sclerosus/pediatric-vulvar-lichen-s

  In addition to using medicines for lichen sclerosus, good vulvar hygiene is important to keeping your daughter comfortable. […] The prognosis of pediatric lichen sclerosus is usually very good. Most girls will improve significantly with treatment. However, the signs and symptoms of lichen sclerosus may come and go over several years. […] Having a long-term, itchy, painful, disease involving the genital area may be very upsetting to a young girl. Girls with lichen sclerosus may need a great deal of emotional support and encouragement to deal with their disease.

• #1 Information for carers and partners of people with vulval lichen sclerosus | Lichen Sclerosus Guide

  https://www.lichensclerosusguide.org.uk/information-for-carers-and-partners/

  Whether youre caring for a parent, partner, family member or friend, or you work professionally as a carer, looking after someone with vulval lichen sclerosus (LS) isnt always easy. In this section, we take you through some practical tips and suggestions you can use when youre helping them. […] If the person youre caring for is visually impaired, has mobility issues or is elderly, you might need extra support to give them the best care for their condition, so weve also included recommendations for taking those next steps. […] If youre caring for someone with vulval LS, its really important to have a good understanding of what the condition actually is. […] Its also really important to make sure someone with LS avoids potential triggers for their condition. Vulval skin can be delicate and it may need a different hygiene routine than skin on other parts of the body.

• #1 Information for carers and partners of people with vulval lichen sclerosus | Lichen Sclerosus Guide

  https://www.lichensclerosusguide.org.uk/information-for-carers-and-partners/

  Getting the right treatment is one of the most important parts of managing LS and minimising discomfort. […] The person youre caring for might need help sticking to their treatment plan, which might mean reminding them when and how to apply their ointment. […] If theyre elderly, have difficulties with mobility or cant see well enough to apply the ointments themselves, you might need to do it for them. […] You might find our information on steroid treatments and the anatomy of the vulva helpful, but if youre not sure, check with your loved ones doctor, nurse or consultant so you feel clear and confident about what youre doing. […] As well as helping them follow their treatment plan, you might also need to support the person youre caring for with managing their symptoms, especially if theyre newly diagnosed, starting a new treatment or experiencing a flare-up.

• #1 Information for carers and partners of people with vulval lichen sclerosus | Lichen Sclerosus Guide

  https://www.lichensclerosusguide.org.uk/information-for-carers-and-partners/

  But if your partner does get an LS diagnosis, theyll need your support and understanding. […] If your partner has symptoms that could be LS, its important they get a proper diagnosis, so they can be prescribed the right treatment and start feeling better. […] Getting an LS diagnosis can be upsetting. […] While all of this is sinking in, your partner might be tearful and distressed. […] One of the best things you can do to support your partner is take the time to learn about LS. […] Some people describe the pain as being like someone holding a flame to their vulva, and the itching as being like chickenpox. […] Lots of people with LS still enjoy an active sex life, whatever that looks like for them and their partner. […] However, for many people, LS makes sexual intimacy difficult, and the pain, discomfort, tearing or bleeding they experience means they just dont want, or feel able, to do it.

• #1 Lichen sclerosus treatment and care – Derm Nix Lab

  https://derm-nix.com/en/treatments-and-care-for-lichen-sclerosus/?srsltid=AfmBOooeJH2Ph2tNEd6Dd7l7ILvgJHtbqzsF-MtQCQeZ6pb_unsjiIBu

  Lichen sclerosus is a chronic skin disease and therefore there is currently no cure. […] Fortunately, there are several treatment options to alleviate symptoms and prevent complications. […] In general, the usual treatment is the use of topical steroid (corticosteroid) creams to reduce inflammation and itching. Emollient creams can soften the skin and therefore can also help to keep the skin moisturized and prevent dryness and cracking. […] In addition, there are surgical options, such as circumcision (for males) or scar tissue reduction, which may be necessary in more severe cases. […] In the case of women with vulvar lichen sclerosus (VSLE), for several years there has also been the Lichenia Treatment based on stem cells derived from the patients own fat, which gives extraordinary results.

• #1 Vulvar Lichen Sclerosus – Symptoms, Diagnosis & Treatment (PDF)

  https://gynqi.com/vulvar-lichen-sclerosus/

  A treatment plan should be implemented to include symptom control and management of painful symptoms such as itching, burning, or pain during intercourse. […] Preventing disease progression and preserving the normal anatomy and function of the vulva. […] Prevention of vulvar cancer. Approximately 5% of vulvar lichen sclerosus will progress to vulvar cancer (vulvar squamous cell carcinoma) if left untreated. […] After a diagnosis of vulvar lichen sclerosus, the follow-up plan and initiation of treatment are tailored to your needs until your symptoms improve. […] Regular follow-up appointments are crucial for monitoring changes and ensuring appropriate care.

• #1 Lichen sclerosus | The Royal Women’s Hospital

  https://www.thewomens.org.au/health-information/vulva-vagina/vulva-vagina-problems/lichen-sclerosus

  Lichen sclerosus (said ‘like-en skler-oh-sus’) is a skin condition that makes patches of skin look white, thickened and crinkly. It most often affects the skin around the vulva or anus. […] It can be itchy, painful and cause permanent scarring. Four in 100 (or four per cent of) women with this condition go on to develop vulvar cancer. […] Lichen sclerosus affects around one in 80 women. It can happen at any age, but is most common in middle-aged and elderly women. For most women it is a lifelong condition. […] Symptoms include: chronic itchiness in the vulvar or anal area (which may go away and come back later), skin that looks pale, thicker or crinkled, pain if the skin has split because of scratching. […] Skin affected by lichen sclerosus can also scar and join up with nearby skin. This can change the structure of your vulva – for example, your labia minora may appear flattened, your clitoris can become buried under its hood and/or the opening of your vagina may shrink. This can sometimes affect your ability to have and/or enjoy sex.

• #1 Patient education: Vulvar lichen sclerosus (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/vulvar-lichen-sclerosus-beyond-the-basics/print

  All patients with vulvar LS, even those without noticeable symptoms, need to use medication on a regular and ongoing basis. […] Patients who are diagnosed with vulvar LS should talk to their clinician about: The lifelong and potentially progressive nature of vulvar LS; appropriate treatment can stop the condition from worsening. […] Depending on the severity of the condition, a health care provider may recommend one or more of the following treatments for vulvar LS. […] Steroid ointments reduce inflammation and itching. They are the treatment of choice for genital LS. […] Initial treatment usually requires daily application of the steroid ointment for a few months to resolve the symptoms and reduce inflammation. […] Some people with vulvar LS may develop abnormal fusion of the labia and/or scarring. […] The good news for patients who have been diagnosed with vulvar lichen sclerosus (LS) is that treatments such as topical steroid ointments are very effective.

• #1 Lichen Sclerosus: Causes, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/16564-lichen-sclerosus

  Lichen sclerosus is a chronic inflammatory condition that affects skin on your genitals. […] Treatment may involve medications that you apply directly to your genitals, light therapy, immunosuppressants or circumcision. […] Without treatment, it can lead to scarring, making it difficult or painful to have sexual intercourse (dyspareunia), urinate (pee) or have a bowel movement (poop). […] There isnt a cure for lichen sclerosus, though treatment can help manage your symptoms. […] An essential part of lichen sclerosus treatment includes regular checkups with a healthcare provider. […] Theyll watch for signs of skin cancer and help prevent scarring around your genitals. […] Yes, healthcare providers can treat lichen sclerosus without circumcision. […] Your healthcare provider may recommend the following lichen sclerosus treatments: Topical corticosteroid creams.

• #1 Lichen Sclerosus | Cedars-Sinai

  https://www.cedars-sinai.org/health-library/diseases-and-conditions/l/lichen-sclerosus.html

  Lichen sclerosus is a long-term (chronic) skin condition. It causes the skin to become thin, white, and wrinkly. […] Treatment is done to ease symptoms and keep the lichen sclerosus from getting worse. The treatment often starts with steroid ointment. This reduces pain, itching, and inflammation. When used regularly, this helps manage symptoms for most people. […] For men, removing the foreskin (circumcision) is often a successful treatment. In women, surgery is often not a preferred treatment. That’s because lichen sclerosus often comes back. […] These treatments often reduce most of the symptoms and keep the condition from getting worse. You will likely need to use medicine on a regular, long-term basis. If untreated, the condition tends to get worse over time. […] Practicing good hygiene may help you reduce some of the symptoms of lichen sclerosus. Your healthcare provider may advise that you: Not scratch the area, Not wear pantyhose (wear thigh-high stockings instead), Wear cotton underwear instead of synthetic underwear, Wear loose-fitting pants or skirts instead of tight-fitting pants, Not use scented soaps, detergents, or bubble baths, Not apply soap directly to your genitals, Use your fingertips and not washcloths for washing the vulva, Pat the vulva dry after washing, and dont rub, Not use feminine sprays or douches. […] Most people with will need long-term treatment to manage their symptoms.

• #1 Vulval lichen sclerosus in primary care: thinking beyond thrush and genitourinary symptoms of the menopause

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10147430/

  Recommended treatment is clobetasol propionate (CP) 0.05% ointment once a day for a month, then alternate days for a month, then twice weekly. […] GPs should explain to women about the risk of malignancy. […] Women with stable symptoms should be examined on an annual basis. […] VLS is a chronic, progressive disease. It is painful, restricts activities of daily living, and carries the potential for malignancy. Early diagnosis and intervention are crucial to reduce the impact on womens lives.

• #1 Vulval lichen sclerosus in primary care: thinking beyond thrush and genitourinary symptoms of the menopause

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10147430/

  Vulval lichen sclerosus (VLS) is a chronic inflammatory skin condition. It can have a significant impact on quality of life, affecting sexual function and restricting other activities of daily living such as toileting, sitting, exercising, and socialising. […] Early diagnosis and treatment are key to reducing the impact on womens lives, and preventing long-term sequelae. General practice has a key role in enabling timely diagnosis and treatment, but women often report long delays to diagnosis despite repeatedly seeking help. […] To diagnose VLS, examination is key, preferably by a GP with an interest in womens health. […] Vulval examination may be daunting and is often painful for those with active LS, as the skin may be fragile and inflamed. […] Treatment should be started as soon as possible, and should not be delayed while awaiting a specialist appointment.

• #1 Lichen Sclerosus: Symptoms, Causes, Treatment

  https://www.healthline.com/health/lichen-sclerosus

  Lichen sclerosus can affect a small area or spread to surrounding skin. […] Except in cases involving children, which sometimes resolve on their own, lichen sclerosus cant be cured. However, it can be treated. […] For those experiencing painful sexual intercourse due to tightening of the vagina, a doctor can prescribe vaginal dilators, a water-based lubricant, or, if needed, a numbing cream like lidocaine ointment. […] Other protective measures may include: washing the affected area daily with a gentle, non-soap cleanser; avoiding clothing that may cause friction to the area; avoiding bike and horseback riding; applying moisturizer to relieve itching and dryness and to create a protective barrier on the skin. […] Adult lichen sclerosus cant be cured or even treated entirely, but there are treatment options to help reduce symptoms. Self-care measures can help prevent future complications. These include: carefully cleaning and drying the area after urinating; avoiding harsh or chemical soaps on the affected area; monitoring the affected areas for signs of skin cancer; regularly following up with a doctor.

• #1 Lichen sclerosus | The Royal Women’s Hospital

  https://www.thewomens.org.au/health-information/vulva-vagina/vulva-vagina-problems/lichen-sclerosus

  It is safe to have sex. You can’t give someone lichen sclerosus because it’s not a sexually transmitted infection or contagious. […] You might find sex painful however, because scarring can make the vulvar skin (and vaginal opening) tight and more likely to split. […] Talk to your doctor or a sexual counsellor if sex is painful or you are anxious about trying it again. Dilators that help to open the vagina and exercises that relax the surrounding muscles may help. […] There are treatments that can help you successfully manage the symptoms.

• #2 Lichen Sclerosus: Causes, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/16564-lichen-sclerosus

  Lichen sclerosus is a chronic inflammatory condition that affects skin on your genitals. […] Treatment may involve medications that you apply directly to your genitals, light therapy, immunosuppressants or circumcision. […] Without treatment, it can lead to scarring, making it difficult or painful to have sexual intercourse (dyspareunia), urinate (pee) or have a bowel movement (poop). […] There isnt a cure for lichen sclerosus, though treatment can help manage your symptoms. […] An essential part of lichen sclerosus treatment includes regular checkups with a healthcare provider. […] Theyll watch for signs of skin cancer and help prevent scarring around your genitals. […] Yes, healthcare providers can treat lichen sclerosus without circumcision. […] Your healthcare provider may recommend the following lichen sclerosus treatments: Topical corticosteroid creams.

• #2 Vulval lichen sclerosus in primary care: thinking beyond thrush and genitourinary symptoms of the menopause

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10147430/

  Vulval lichen sclerosus (VLS) is a chronic inflammatory skin condition. It can have a significant impact on quality of life, affecting sexual function and restricting other activities of daily living such as toileting, sitting, exercising, and socialising. […] Early diagnosis and treatment are key to reducing the impact on womens lives, and preventing long-term sequelae. General practice has a key role in enabling timely diagnosis and treatment, but women often report long delays to diagnosis despite repeatedly seeking help. […] To diagnose VLS, examination is key, preferably by a GP with an interest in womens health. […] Vulval examination may be daunting and is often painful for those with active LS, as the skin may be fragile and inflamed. […] Treatment should be started as soon as possible, and should not be delayed while awaiting a specialist appointment.

• #2 Lichen sclerosus – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/lichen-sclerosus/diagnosis-treatment/drc-20374452

  Your health care provider may diagnose lichen sclerosus by looking at the affected skin. You may need a biopsy to rule out cancer. You may need a biopsy if your skin doesn’t respond to steroid creams. A biopsy involves removing a small piece of affected tissue for examination under a microscope. […] With treatment, symptoms often improve or go away. Treatment for lichen sclerosus depends on how severe your symptoms are and where it is on your body. Treatment can help ease itching, improve how your skin looks and decrease the risk of scarring. Even with successful treatment, the symptoms often come back. […] Steroid ointment clobetasol is commonly prescribed for lichen sclerosus. At first you’ll need to apply the ointment to the affected skin twice a day. After several weeks, your health care provider will likely suggest that you use it only twice a week to prevent symptoms from returning.

• #2 Lichen sclerosus: An overview – Medical Independent

  https://www.medicalindependent.ie/clinical-news/lichen-sclerosus-an-overview/

  Lichen sclerosus tends to be a progressive condition. However, with proper treatment and management, disease progression can be slowed or halted, and symptom relief can be achieved. […] Treatment aims to alleviate symptoms and prevent complications such as atrophy, scar formation, anatomical distortion, as well as malignant transformation, and improve quality of life. Management strategies can vary depending on the severity of symptoms, age, and gender. Patients should be educated about the condition and encouraged to avoid the use of irritating products such as soap in the area, and to use emollients to break the itch-stretch cycle. […] For genital lichen sclerosus, the gold standard treatment is three months application of high-potency topical steroids, eg, clobetasol propionate. Apply once daily, at night, for four weeks, then on alternate nights for four weeks, and then twice weekly for a further four weeks, before review.

• #2 Lichen Sclerosus | Doctor

  https://patient.info/doctor/lichen-sclerosus-pro

  LS can be managed by a GP, dermatologist or gynaecologist, depending on local expertise and protocols. Referral may be required to confirm the diagnosis. […] Long-term follow-up is needed for women with LS, particularly for patients on long-term steroids and with poorly controlled LS. […] Patients who respond well to treatment and need only small amounts of topical steroids should be reviewed annually – this can be in primary care. Give patients clear instructions to report immediately any persistent new lumps, skin changes, erosions or ulcers. […] The current evidence demonstrates the efficacy of clobetasol propionate, mometasone furoate, and pimecrolimus in treating genital lichen sclerosus. […] A reducing course of clobetasol propionate 0.05% is the usual treatment: The usual regimen is – once-daily (at night) use for one month, alternate nights for one month, then twice-weekly for one month with review at three months.

• #2 Lichen Sclerosus | OB/GYN & Women’s Health Services | University Hospitals | University Hospitals

  https://www.uhhospitals.org/services/obgyn-womens-health/conditions-and-treatments/general-gynecology/lichen-sclerosus

  Lichen sclerosus is a chronic inflammatory condition that is characterized by changes to the skin of the external genitals and anal area. […] Lichen sclerosus can affect both males and females, but it most commonly occurs in young girls before puberty or in post-menopausal women. […] Once diagnosed, the recommended treatment options can vary depending on severity and location of the symptoms. […] With treatment, symptoms should improve or go away. […] Treatment options include: […] Topical steroid ointments: Steroid ointments such as clobetasol are commonly prescribed to treat lichen sclerosus. […] Topical calcineurin inhibitors: This type of medication works by suppressing the immune response to reduce skin inflammation. […] Phototherapy (light therapy): Exposure of affected areas of skin to certain wavelengths of ultraviolet light can reduce inflammation and itching.

• #2 Lichen sclerosus – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/lichen-sclerosus/diagnosis-treatment/drc-20374452

  Your health care provider will monitor you for side effects associated with prolonged use of topical corticosteroids, such as further thinning of the skin. […] In addition, your health care provider may recommend a calcineurin inhibitor, such as tacrolimus ointment (Protopic). […] Ask your health care provider how often you’ll need to return for follow-up exams likely once or twice a year. Long-term treatment is needed to control itching and irritation and prevent serious complications. […] Your health care provider might recommend removing the penis foreskin (circumcision) if the opening for urine flow has been narrowed by lichen sclerosus. […] If you have symptoms of lichen sclerosus, make an appointment with your health care provider. You may be referred to a specialist in the diagnosis and treatment of skin conditions (dermatologist).

• #2 Lichen sclerosus | The Royal Women’s Hospital

  https://www.thewomens.org.au/health-information/vulva-vagina/vulva-vagina-problems/lichen-sclerosus

  Unfortunately there is no cure or way to get rid of lichen sclerosus completely. There are however ways to reduce or lessen the symptoms so that you can live comfortably with it. […] Cortisone ointment applied to the vulva can provide relief and stop lichen sclerosus from getting worse. This is a lifelong treatment and you will need to apply cortisone regularly (often once or twice a week) even when you have no symptoms. Strong cortisone is safe to use on inflamed skin and will not cause the skin of your vulva to thin. […] Surgery to remove any cancerous or pre-cancerous skin. Surgery can also remove scarring or adhesions that cover the entrance to your vagina if these are affecting your ability to have or enjoy penetrative sex. […] You will also need regular checkups with your doctor to monitor your lichen sclerosus. Let them know if you notice any new changes to your vulva.

• #2 Understanding Lichen Sclerosus

  https://encyclopedia.nm.org/Search/3,90736

  Lichen sclerosus causes white patches on the skin. These patches break down the skin. The skin may become thin, wrinkled, and cracked. The patches may scar, discolor, and disfigure the skin. These changes can damage the skin. In most cases, the patches appear around the vagina and on the penis. Genital lesions can be very itchy or sometimes painful. […] Treatment can ease symptoms and prevent scarring. It should be started early to prevent lasting (permanent) damage to the skin. Care from a health care provider who specializes in lichen sclerosis is recommended. Be sure to follow up with monitoring and treatment as advised. […] Skin care. Bathing with mild soaps and using moisturizing cream may ease itching. […] Steroids. These medicines are often put on the skin as an ointment or cream. Very strong, prescription steroid creams are used. Your provider may also inject steroid medicine into the white patches in severe cases.

• #2 Lichen sclerosus – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/lichen-sclerosus/symptoms-causes/syc-20374448

  Lichen sclerosus is a condition that causes patchy, discolored, thin skin. It usually affects the genital and anal areas. […] Treatment is usually a medicated ointment. This treatment helps return the skin to its usual color and reduces the risk of scarring. Even if your symptoms clear up, they tend to come back. So you’ll likely need long-term follow-up care. […] See your health care provider if you have symptoms of lichen sclerosus. […] If you’ve already been diagnosed with lichen sclerosus, see your health care provider every 6 to 12 months. These visits are important to check for any skin changes or side effects of treatment.

• #2 Gynaecology – Lichen Sclerosus :: Northern Care Alliance

  https://www.northerncarealliance.nhs.uk/patient-information/patient-leaflets/gynaecology-lichen-sclerosus?q=%2Fpatient-information%2Fpatient-leaflets%2Fgynaecology-lichen-sclerosus

  Lichen Sclerosus increases your risk of getting cancer of the vulva, penis or anus. The risk is low but its a good idea to check yourself regularly and see your GP if you have any concerns. Symptoms to look for include a lump, a change in skin texture, such as thickening, or an ulcer that does not go away. […] There are 3 main components to the management of Lichen Sclerosus (British Association of Dermatologists). […] Topical corticosteroids include an initial three month course of ultrapotent topical corticosteroids (e.g. clobetasol, proprionate (Dermovate ointment)). The treatment is one finger-tip unit (from the tip of the finger to the first crease) nightly for 4 weeks and then twice a week for 4 weeks. […] Regular use of emollients (e.g. Cetraban). These are used to moisturise and smooth the skin. They can be used to provide a barrier to potential irritants (e.g. urine) and keep the skin hydrated. It is also important to perform monthly self-examinations of your vulva to ensure there is no abnormal changes to your vulva.

• #2 Lichen sclerosus | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/lichen-sclerosus

  Lichen sclerosus is a condition that causes patchy, discolored, thin skin. It usually affects the genital and anal areas. […] Treatment is usually a medicated ointment. This treatment helps return the skin to its usual color and reduces the risk of scarring. Even if your symptoms clear up, they tend to come back. So you’ll likely need long-term follow-up care. […] If you’ve already been diagnosed with lichen sclerosus, see your health care provider every 6 to 12 months. These visits are important to check for any skin changes or side effects of treatment. […] With treatment, symptoms often improve or go away. Treatment for lichen sclerosus depends on how severe your symptoms are and where it is on your body. Treatment can help ease itching, improve how your skin looks and decrease the risk of scarring. Even with successful treatment, the symptoms often come back.

• #2 Lichen sclerosus

  https://info.health.nz/conditions-treatments/skin/lichen-sclerosus

  You will be prescribed a strong steroid ointment or cream for 3 months. This can reverse any skin changes and stop itching. […] Your healthcare provider should see you after a few weeks of starting treatment to see how you are responding to treatment. […] Wash gently once or twice daily. […] Use a non-soap cleanser. […] Apply emollient products like lanolin or glycerol stearate to help with dryness and itching. These also act as a barrier to protect skin in the genital and anal areas from contact with wee and poo. […] If you have lichen schlerosus you should check for: a lump which does not go away, a change in the texture of the skin, a broken area of skin that does not heal. […] If you notice any of these things make an appointment with your healthcare provider as soon as possible.

• #2 Genital Lichen Sclerosus Treatment: From Ointments to Self-Care

  https://www.verywellhealth.com/lichen-sclerosus-treatment-7494850

  While there is no cure for lichen sclerosus, treatment can often help control symptoms, prevent scarring, and reduce the risk of skin cancer. […] The genital itching and pain that this problem causes can often be reduced with prescribed steroid ointments. Certain lifestyle routines and self-care can also help reduce symptoms and control flares. Surgery may be needed in severe cases. […] Lichen sclerosus self-care involves good hygiene and other strategies that reduce irritation and ease symptoms of skin irritation and pain, including: Avoid scratching the affected area. Apply petroleum jelly, emollients, or moisturizers (Aquaphor, Vaseline, others), to the affected area. Use mild unscented soaps daily to gently wash the affected area and pat dry. Avoid bathing too often. Bathe in the morning and at night with water, not scented bath products, to ease burning and pain. Don’t apply soap directly to your genitals. Take an oral antihistamine at bedtime to help control itching during sleep. Use soft, dye-free, unscented toilet paper. Avoid scented detergents, tight-fitting pants, pantyhose, and other irritants. Wear cotton underwear instead of synthetic underwear. Cleanse your vulva with your fingertips and pat it dry after washing.

• #2 Lichen Sclerosus: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.lichen-sclerosus-care-instructions.abq4840

  If your doctor told you to use nonprescription moisturizing cream on your skin, read and follow the directions on the label. […] Do not douche, unless your doctor tells you to. […] Avoid hot baths. Don’t use soaps or bath products to wash the area around your vulva. Rinse with water only, and gently pat the area dry. […] Keep your penis clean. If you haven’t been circumcised, gently pull the foreskin back to wash your penis with warm water. Make sure your penis is dry before you get dressed.

• #2 Lichen sclerosus

  https://www.rch.org.au/kidsinfo/fact_sheets/Lichen_sclerosus/

  Lichen sclerosus is an uncommon skin condition that causes a distinctive rash, and usually affects the genital skin around the vulva (external female genital area) and anus. It most often looks like white patches on the skin. It can last for years and in some cases, cause permanent scarring of the affected area. […] If your child has lichen sclerosus, they should avoid using soap, talcum powder, antiseptics and non-prescription creams. The most effective treatment is strong steroid ointment. […] Because genital skin is very delicate, it is important to protect it, especially when lichen sclerosus is present. If your child has lichen sclerosus, they should stop using the following items, if they cause irritation: soaps and bubble baths, vaginal wash products, talcum powder, antiseptics or non-prescription creams from the chemist or supermarket.

• #2 Lichen Sclerosus et Atrophicus – Iowa Dermatology Consultants

  https://iowadermatologyconsultants.com/medical-services/lichen-sclerosus-et-atrophicus/

  Patients also may find it useful to use barrier ointments like Vaseline Petroleum Jelly, A&D ointment, zinc paste or Cerave Healing Ointment to the affected area to soothe the symptoms once the condition is under control. Unfortunately there is not a “cure” but this condition can be managed. In young girls, about 60% will notice the condition goes away at puberty. However, sometimes it can reoccur or persist into adulthood. In advanced cases where there is significant scarring, sometimes surgery can be helpful.

• #2 Information for carers and partners of people with vulval lichen sclerosus | Lichen Sclerosus Guide

  https://www.lichensclerosusguide.org.uk/information-for-carers-and-partners/

  Applying a fragrance-free emollient moisturiser, (preferably an oil-based ointment) can help soothe, protect and moisturise the skin. […] Its often helpful to keep emollients in the bathroom, so they can be reapplied after showers, baths or using the toilet. […] If pelvic floor dysfunction seems to be contributing to the constipation, they might also be referred to a pelvic floor physiotherapist. […] Once a month, its a good idea for people with LS to have a vulva check. […] If you see any changes, note them down and let their doctor know. […] When youre doing a vulva check, or any time youre helping the person youre caring for wash, dress or go to the toilet, keep an eye out for signs that their LS is flaring up, or any complications like bleeding, tearing or infection. […] Living with LS can be challenging, so try to stay optimistic when youre with the person youre caring for.

• #2 Information for carers and partners of people with vulval lichen sclerosus | Lichen Sclerosus Guide

  https://www.lichensclerosusguide.org.uk/information-for-carers-and-partners/

  If your partner is finding sex too difficult at the moment, its understandable for you to be upset too. […] When their symptoms are more under control, they may feel ready to be more intimate again. […] Like with any medical condition, having someone by your side at appointments can make a big difference, so talk to your partner about whether theyd like you to be there with them. […] Your partner might be completely able to take care of their own treatment, staying on top of their treatment plan, checking their vulva, and applying their steroid creams and emollients. […] Even if your partners LS is well under control, flare-ups in their symptoms can happen, and they can be extremely uncomfortable, painful and distressing. […] Its natural for LS to put new pressures on you both individually and as a couple, so if you need some support, dont be afraid to reach out.

• #2 Lichen sclerosus

  https://www.nhs.uk/conditions/lichen-sclerosus/

  If you have lichen sclerosus, there are some things you can do to help stop your skin becoming irritated or damaged. […] Regularly apply a barrier cream or ointment, such as petroleum jelly, to affected areas. […] Follow your doctor’s advice about how and when to use any medicine that’s prescribed for you. […] Although treatment for lichen sclerosus can help, the affected skin can sometimes become scarred and tight over time. […] The scarring and tightness can cause discomfort when peeing, pooing and during sex. […] If lichen sclerosus is severe, you might need a small operation, such as surgery to widen your vagina or remove your foreskin (circumcision). […] Lichen sclerosus increases your risk of getting cancer on your vulva, penis or anus.

• #2 Patient education: Vulvar lichen sclerosus (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/vulvar-lichen-sclerosus-beyond-the-basics

  Patients who are diagnosed with vulvar LS should talk to their clinician about: The lifelong and potentially progressive nature of vulvar LS; appropriate treatment can stop the condition from worsening. […] Topical steroids and steroid injections – Steroid ointments reduce inflammation and itching. They are the treatment of choice for genital LS. […] Initial treatment usually requires daily application of the steroid ointment for a few months to resolve the symptoms and reduce inflammation. […] Some people with vulvar LS may develop abnormal fusion of the labia and/or scarring. […] The good news for patients who have been diagnosed with vulvar lichen sclerosus (LS) is that treatments such as topical steroid ointments are very effective.

• #2 Vulval lichen sclerosus in primary care: thinking beyond thrush and genitourinary symptoms of the menopause | British Journal of General Practice

  https://bjgp.org/content/73/730/234

  Typically women report intense pruritus and dyspareunia or vulval pain. […] VLS can be managed in primary care if the clinician is confident, but referral to a specialist vulval clinic should be considered if response to treatment is poor, disease is complicated, or diagnosis is uncertain. […] Treatment should be started as soon as possible, and should not be delayed while awaiting a specialist appointment. […] GPs should explain to women about the risk of malignancy. […] VLS is a chronic, progressive disease. It is painful, restricts activities of daily living, and carries the potential for malignancy. Early diagnosis and intervention are crucial to reduce the impact on womens lives.

• #2 Vulval lichen sclerosus in primary care: thinking beyond thrush and genitourinary symptoms of the menopause | British Journal of General Practice

  https://bjgp.org/content/73/730/234

  Vulval lichen sclerosus (VLS) is a chronic inflammatory skin condition. It can have a significant impact on quality of life, affecting sexual function and restricting other activities of daily living such as toileting, sitting, exercising, and socialising. […] If untreated, VLS is a progressive disease, with potential to lead to distressing anatomical changes and malignancy. Early diagnosis and treatment are key to reducing the impact on womens lives, and preventing long-term sequelae. General practice has a key role in enabling timely diagnosis and treatment, but women often report long delays to diagnosis despite repeatedly seeking help. […] Women with VLS often seek help on multiple occasions and may be given incorrect diagnoses and treatments for a range of conditions, such as candidiasis and GSM.

• #2 Lichen sclerosus | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/lichen-sclerosus

  Your health care provider will monitor you for side effects associated with prolonged use of topical corticosteroids, such as further thinning of the skin. […] Ask your health care provider how often you’ll need to return for follow-up exams likely once or twice a year. Long-term treatment is needed to control itching and irritation and prevent serious complications. […] These self-care tips may help ease skin irritation: Apply petroleum jelly (Vaseline, Aquaphor, others) to the affected area. Gently wash the affected area daily and pat dry. Use mild unscented soaps and avoid bathing too much. Ease burning and pain with a bath in the morning and at night, with water that’s comfortable to the touch. Don’t add bubble bath or other products. Take an oral antihistamine at bedtime to help control the itching as you try to sleep. Use soft unscented toilet paper without dyes. Avoid irritants, such as tight clothing and scented detergents. […] If you have symptoms of lichen sclerosus, make an appointment with your health care provider. You may be referred to a specialist in the diagnosis and treatment of skin conditions (dermatologist).

• #2 Genital Lichen Sclerosus Treatment: From Ointments to Self-Care

  https://www.verywellhealth.com/lichen-sclerosus-treatment-7494850

  Treatment can reduce and potentially eliminate symptoms, though periodic flares are always possible. This disease requires following a treatment regimen that involves monitoring your body for signs of disease progression. […] Maintenance therapy for lichen sclerosus can include the following regimen: Reduction of the dosage and/or strength of initial steroid treatment. Intermittent use of ultra-potent steroids to treat flares. Use of tacrolimus ointment on weekends after initial steroid treatment is discontinued. Use of emollients to soften and protect skin from cracks, lubricate the affected areas during sexual intercourse, and substitute for soap. Regular check-ups with your healthcare provider every three to six months for two years, then annually, or as advised. Healthy self-care practices that involve avoiding irritants to help prevent a recurrence. […] Early treatment of this disease can help prevent problems like scarring. Lifetime care and follow-up are needed to reduce your risk of flares.

• #3 Genital Lichen Sclerosus Treatment: From Ointments to Self-Care

  https://www.verywellhealth.com/lichen-sclerosus-treatment-7494850

  While there is no cure for lichen sclerosus, treatment can often help control symptoms, prevent scarring, and reduce the risk of skin cancer. […] The genital itching and pain that this problem causes can often be reduced with prescribed steroid ointments. Certain lifestyle routines and self-care can also help reduce symptoms and control flares. Surgery may be needed in severe cases. […] Lichen sclerosus self-care involves good hygiene and other strategies that reduce irritation and ease symptoms of skin irritation and pain, including: Avoid scratching the affected area. Apply petroleum jelly, emollients, or moisturizers (Aquaphor, Vaseline, others), to the affected area. Use mild unscented soaps daily to gently wash the affected area and pat dry. Avoid bathing too often. Bathe in the morning and at night with water, not scented bath products, to ease burning and pain. Don’t apply soap directly to your genitals. Take an oral antihistamine at bedtime to help control itching during sleep. Use soft, dye-free, unscented toilet paper. Avoid scented detergents, tight-fitting pants, pantyhose, and other irritants. Wear cotton underwear instead of synthetic underwear. Cleanse your vulva with your fingertips and pat it dry after washing.

• #3 Lichen sclerosus | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/lichen-sclerosus

  Your health care provider will monitor you for side effects associated with prolonged use of topical corticosteroids, such as further thinning of the skin. […] Ask your health care provider how often you’ll need to return for follow-up exams likely once or twice a year. Long-term treatment is needed to control itching and irritation and prevent serious complications. […] These self-care tips may help ease skin irritation: Apply petroleum jelly (Vaseline, Aquaphor, others) to the affected area. Gently wash the affected area daily and pat dry. Use mild unscented soaps and avoid bathing too much. Ease burning and pain with a bath in the morning and at night, with water that’s comfortable to the touch. Don’t add bubble bath or other products. Take an oral antihistamine at bedtime to help control the itching as you try to sleep. Use soft unscented toilet paper without dyes. Avoid irritants, such as tight clothing and scented detergents. […] If you have symptoms of lichen sclerosus, make an appointment with your health care provider. You may be referred to a specialist in the diagnosis and treatment of skin conditions (dermatologist).

• #3 Genital Lichen Sclerosus Treatment: From Ointments to Self-Care

  https://www.verywellhealth.com/lichen-sclerosus-treatment-7494850

  Treatment can reduce and potentially eliminate symptoms, though periodic flares are always possible. This disease requires following a treatment regimen that involves monitoring your body for signs of disease progression. […] Maintenance therapy for lichen sclerosus can include the following regimen: Reduction of the dosage and/or strength of initial steroid treatment. Intermittent use of ultra-potent steroids to treat flares. Use of tacrolimus ointment on weekends after initial steroid treatment is discontinued. Use of emollients to soften and protect skin from cracks, lubricate the affected areas during sexual intercourse, and substitute for soap. Regular check-ups with your healthcare provider every three to six months for two years, then annually, or as advised. Healthy self-care practices that involve avoiding irritants to help prevent a recurrence. […] Early treatment of this disease can help prevent problems like scarring. Lifetime care and follow-up are needed to reduce your risk of flares.

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