Materiały źródłowe

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

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

  Vulvar Lichen Sclerosus (LS) is a chronic inflammatory condition affecting the vulva, primarily impacting around 1% of women who are often diagnosed around menopause. […] Regular follow-ups are crucial to monitor symptoms and prevent further complications, including the approximately 5% risk of progression to vulvar cancer if lichen sclerosus remains untreated. […] Managing Lichen Sclerosus requires ongoing treatment as it is a chronic condition for which there is currently no cure. […] Consistent use of topical steroids is key to controlling your symptoms and preventing the progression of the disease. […] A treatment plan should be implemented to include: […] 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.

• #2 Lichen sclerosus: Symptoms, Causes, and Treatment

  https://patient.info/womens-health/vulval-problems-leaflet/lichen-sclerosus

  Can you prevent lichen sclerosus? The exact cause of lichen sclerosus is unknown, and we don’t know of any way to prevent it from developing.

• #3 Early aggressive treatment of lichen sclerosus may prevent disease progression – PubMed

  https://pubmed.ncbi.nlm.nih.gov/22503028/

  Early aggressive treatment of lichen sclerosus may prevent disease progression. […] Our data suggest that early aggressive topical therapy plus minimally invasive surgical therapy to relieve high pressure voiding may prevent the progression of lichen sclerosus in patients who present with limited disease involving the skin and meatus.

• #4 Lichen Sclerosus > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/lichen-sclerosus

  Lichen sclerosus may go undiagnosed for years because women are often too embarrassed to tell their doctor about their symptoms, says Amanda Zubek, MD, a Yale Medicine dermatologist. When caught early, prompt treatment can prevent a lifetime of debilitating itch and painful genital scarring. […] A long-term maintenance treatment regimen is very important, and not just to prevent or treat symptom recurrence. Treatment to maintain normal skin color and texture reduces scarring and may prevent progression to skin cancer, says Yale Medicine dermatologist Alicia Little, MD, PhD. […] We start with potent topical steroids and educate the patient on the importance of continued treatment. Even if they don’t have symptoms, preventing severe scarring or cancer is a priority, Dr. Zubek says.

• #5 Lichen Sclerosus > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/lichen-sclerosus

  Lichen sclerosus may go undiagnosed for years because women are often too embarrassed to tell their doctor about their symptoms, says Amanda Zubek, MD, a Yale Medicine dermatologist. When caught early, prompt treatment can prevent a lifetime of debilitating itch and painful genital scarring. […] A long-term maintenance treatment regimen is very important, and not just to prevent or treat symptom recurrence. Treatment to maintain normal skin color and texture reduces scarring and may prevent progression to skin cancer, says Yale Medicine dermatologist Alicia Little, MD, PhD. […] We start with potent topical steroids and educate the patient on the importance of continued treatment. Even if they don’t have symptoms, preventing severe scarring or cancer is a priority, Dr. Zubek says.

• #6 Vulval lichen sclerosus – diagnosis and treatment | Medicine Today

  https://medicinetoday.com.au/mt/2019/january/feature-article/vulval-lichen-sclerosus-%E2%80%93-diagnosis-and-treatment

  A prospective study of VLS in 507 adult women compared patients who adhered to treatment and those who did not. It demonstrated that TCS treatment that kept the skin objectively normal also resulted in minimal scarring and greatly reduced the risk of cancer. […] These studies suggest that treatment might change the course of the disease, reducing the risk of cancer and scarring, and the Australian observational study has now provided compelling evidence that this is the case.

• #7 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

  Lichen sclerosus is fairly easy to diagnose by clinicians familiar with the disease and good treatment is available. […] 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. […] Even if the disease is causing her little or no symptoms it should be treated to help prevent scarring. […] To minimize these scarring complications, it is important to start treatment early, before scarring has occurred, and to treat any flare-ups right away. […] Because it is not known whether or not young girls with lichen sclerosus have an increased risk of developing vulvar squamous cell carcinoma later in life, it makes sense that all girls with lichen sclerosus be monitored for life by an experienced clinician.

• #8 There is Hope for Vulvar Lichen Sclerosus

  https://coyleinstitute.com/there-is-hope-for-vulvar-lichen-sclerosus/

  Even if they aren’t painful or itchy, patches on the genital skin should be treated to prevent scarring, which can interfere with normal urination and with sexual intercourse. […] If you suspect you have lichen sclerosus, early treatment is urgent to help prevent scarring and its associated risks.

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

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

  Though you cant prevent lichen sclerosus, you may be able to relieve symptoms with lifestyle changes. […] To reduce friction and irritation, you should: Establish a skincare routine, including regularly washing with soap and clean water and moisturizing, and follow your healthcare professionals recommendations for keeping your skin healthy. […] Early circumcision may also reduce the odds of developing lichen sclerosus.

• #10 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. […] wash with an emollient soap substitute instead of regular soap ask a doctor or pharmacist about suitable products […] regularly apply a barrier cream or ointment, such as petroleum jelly, to affected areas […] wear cotton or silk underwear […] use lubricant if sex is uncomfortable. […] do not smoke […] do not scratch or rub the affected skin […] do not use scented soaps, bubble bath or shower gel […] do not wear tight or restrictive clothes, such as tight-fitting underwear […] do not wash your underwear with detergent just use water […] do not wear panty liners or use fragrance-free ones if you need to use them […] do not do activities like cycling or horse riding until your symptoms have improved […] do not smoke or go near naked flames if you use an emollient emollients are not flammable on the skin, but when they get on fabrics such as dressings, clothing and bedding they can catch fire more easily.

• #11 Lichen Sclerosus | Condition | UT Southwestern Medical Center

  https://utswmed.org/conditions-treatments/lichen-sclerosus/

  There is no known cure for lichen sclerosus, but several treatments can help reduce symptoms, minimize scarring, and prevent the condition from worsening. Affected areas in the genital and anal regions always require intervention. Additionally, patients may have more than one contributing factor, including urinary incontinence, irritant contact dermatitis, allergic contact dermatitis, or candidiasis. It is important to address each condition. […] The following practices can help reduce symptoms of lichen sclerosus in women: Wearing loose-fitting clothing and cotton underwear, avoiding douches, feminine sprays, lotions, and scented detergents and soaps, not washing your genitals with soap, not washing the vulva with a washcloth, patting (not rubbing) the vulva dry after washing, abstaining from moist wipes, treating urinary or fecal incontinence. […] Working with providers experienced in treating patients with lichen sclerosus is important to get this disorder under control. Once the condition is in remission, follow-up appointments with us or the referring provider are recommended.

• #12 Lichen Sclerosus | Condition | UT Southwestern Medical Center

  https://utswmed.org/conditions-treatments/lichen-sclerosus/

  There is no known cure for lichen sclerosus, but several treatments can help reduce symptoms, minimize scarring, and prevent the condition from worsening. Affected areas in the genital and anal regions always require intervention. Additionally, patients may have more than one contributing factor, including urinary incontinence, irritant contact dermatitis, allergic contact dermatitis, or candidiasis. It is important to address each condition. […] The following practices can help reduce symptoms of lichen sclerosus in women: Wearing loose-fitting clothing and cotton underwear, avoiding douches, feminine sprays, lotions, and scented detergents and soaps, not washing your genitals with soap, not washing the vulva with a washcloth, patting (not rubbing) the vulva dry after washing, abstaining from moist wipes, treating urinary or fecal incontinence. […] Working with providers experienced in treating patients with lichen sclerosus is important to get this disorder under control. Once the condition is in remission, follow-up appointments with us or the referring provider are recommended.

• #13 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. […] wash with an emollient soap substitute instead of regular soap ask a doctor or pharmacist about suitable products […] regularly apply a barrier cream or ointment, such as petroleum jelly, to affected areas […] wear cotton or silk underwear […] use lubricant if sex is uncomfortable. […] do not smoke […] do not scratch or rub the affected skin […] do not use scented soaps, bubble bath or shower gel […] do not wear tight or restrictive clothes, such as tight-fitting underwear […] do not wash your underwear with detergent just use water […] do not wear panty liners or use fragrance-free ones if you need to use them […] do not do activities like cycling or horse riding until your symptoms have improved […] do not smoke or go near naked flames if you use an emollient emollients are not flammable on the skin, but when they get on fabrics such as dressings, clothing and bedding they can catch fire more easily.

• #14 Lichen sclerosus fact sheet – Melbourne Sexual Health Centre (MSHC)

  https://www.mshc.org.au/sexual-health/sexual-health-fact-sheets/lichen-sclerosus-fact-sheet

  Lichen sclerosus is not contagious and cannot be passed from one person to another through skin to skin contact. […] The best treatment is strong steroid ointment or cream. Your doctor can prescribe this. You must use enough to prevent all symptoms (such as itch or soreness) and suppress active disease. Where there have never been symptoms, treatment is still necessary. […] Once active lichen sclerosus is stabilised, most people are prescribed maintenance therapy to reduce or prevent the skin inflammation coming back. The minimum recommended frequency of maintenance treatment is once per week. Ointments are preferred to creams in most cases. […] With or without symptoms, a level of ongoing, lifelong treatment is usually recommended and an annual check-up is needed. We encourage people to self-check their genital skin. […] The regular use of low irritant, non-perfumed moisturisers (like sorbolene cream) can help with skin dryness.

• #15 Vulval lichen sclerosus (LS) | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/worried-about-cancer/pre-cancerous-and-genetic-conditions/lichen-sclerosus-vulva

  Vulval LS is usually treated with a strong steroid ointment that you put on the affected area. Often a steroid called clobetasol proprionate (Dermovate) is used. […] The aim of treatment for vulval LS is to control the condition and any symptoms you have. This reduces the risk of long-term problems like scarring or narrowing of the vaginal opening. It may also reduce the risk of vulval cancer developing. […] Your doctor will also give you advice about things you can do to improve your symptoms, such as: avoid using soap, perfumes, talc or wet wipes on the vulva; wash with an emollient soap substitute; wash your hair over the sink or bath to protect the vulval skin from shampoo; avoid hot baths; wear loose fitting or no underwear; if you use a sanitary towel, use a non-perfumed type and change it regularly; use a plain emollient on the vulval skin, such as coconut oil; use a lubricant to protect the skin during penetrative sex. […] Vulval LS is a long-term condition that cannot be cured. It is usually possible to control the symptoms, and this prevents further damage to the skin.

• #16

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

  If the skin patches are on the anus, vulva, or penis, treatment is important to prevent problems. […] Lichen sclerosis on the genitals can also increase your risk of skin cancer. Regular skin exams are recommended. […] Follow-up care is a key part of your treatment and safety. […] Be safe with medicines. If your doctor prescribed a cream, apply it exactly as directed. […] 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.

• #17 Lichen Sclerosus | Condition | UT Southwestern Medical Center

  https://utswmed.org/conditions-treatments/lichen-sclerosus/

  There is no known cure for lichen sclerosus, but several treatments can help reduce symptoms, minimize scarring, and prevent the condition from worsening. Affected areas in the genital and anal regions always require intervention. Additionally, patients may have more than one contributing factor, including urinary incontinence, irritant contact dermatitis, allergic contact dermatitis, or candidiasis. It is important to address each condition. […] The following practices can help reduce symptoms of lichen sclerosus in women: Wearing loose-fitting clothing and cotton underwear, avoiding douches, feminine sprays, lotions, and scented detergents and soaps, not washing your genitals with soap, not washing the vulva with a washcloth, patting (not rubbing) the vulva dry after washing, abstaining from moist wipes, treating urinary or fecal incontinence. […] Working with providers experienced in treating patients with lichen sclerosus is important to get this disorder under control. Once the condition is in remission, follow-up appointments with us or the referring provider are recommended.

• #18 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. […] wash with an emollient soap substitute instead of regular soap ask a doctor or pharmacist about suitable products […] regularly apply a barrier cream or ointment, such as petroleum jelly, to affected areas […] wear cotton or silk underwear […] use lubricant if sex is uncomfortable. […] do not smoke […] do not scratch or rub the affected skin […] do not use scented soaps, bubble bath or shower gel […] do not wear tight or restrictive clothes, such as tight-fitting underwear […] do not wash your underwear with detergent just use water […] do not wear panty liners or use fragrance-free ones if you need to use them […] do not do activities like cycling or horse riding until your symptoms have improved […] do not smoke or go near naked flames if you use an emollient emollients are not flammable on the skin, but when they get on fabrics such as dressings, clothing and bedding they can catch fire more easily.

• #19 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. […] wash with an emollient soap substitute instead of regular soap ask a doctor or pharmacist about suitable products […] regularly apply a barrier cream or ointment, such as petroleum jelly, to affected areas […] wear cotton or silk underwear […] use lubricant if sex is uncomfortable. […] do not smoke […] do not scratch or rub the affected skin […] do not use scented soaps, bubble bath or shower gel […] do not wear tight or restrictive clothes, such as tight-fitting underwear […] do not wash your underwear with detergent just use water […] do not wear panty liners or use fragrance-free ones if you need to use them […] do not do activities like cycling or horse riding until your symptoms have improved […] do not smoke or go near naked flames if you use an emollient emollients are not flammable on the skin, but when they get on fabrics such as dressings, clothing and bedding they can catch fire more easily.

• #20 Lichen sclerosus | MichaelFreyMD

  https://www.michaelfreymd.com/ls

  Lichen sclerosus can be challenging to treat, and many women struggle with it for some time before finding relief. Conventional treatment typically focuses on the management of the symptoms and prevention of scarring. […] Some of my most important recommendations for treating lichen sclerosus involve developing good habits. […] Tightening up your diet and minimizing processed foods while increasing your intake of organic vegetables, fruits, and proteins is essential in most cases. […] Use lube for intercourse, especially if you’re post-menopausal. […] Just be careful what lube you choose, what’s in commercial lubricants can be irritants or endocrine disruptors. […] Wear cotton underwear, or at least with cotton on the inside. […] Cotton helps your vulva to breathe and cuts down on sweat. […] Wear loose pants. […] Always wipe front to back. […] Urinate and or wash off with water after sex. […] Wash your vulva with water only no soap required.

• #21 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. […] wash with an emollient soap substitute instead of regular soap ask a doctor or pharmacist about suitable products […] regularly apply a barrier cream or ointment, such as petroleum jelly, to affected areas […] wear cotton or silk underwear […] use lubricant if sex is uncomfortable. […] do not smoke […] do not scratch or rub the affected skin […] do not use scented soaps, bubble bath or shower gel […] do not wear tight or restrictive clothes, such as tight-fitting underwear […] do not wash your underwear with detergent just use water […] do not wear panty liners or use fragrance-free ones if you need to use them […] do not do activities like cycling or horse riding until your symptoms have improved […] do not smoke or go near naked flames if you use an emollient emollients are not flammable on the skin, but when they get on fabrics such as dressings, clothing and bedding they can catch fire more easily.

• #22 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. […] wash with an emollient soap substitute instead of regular soap ask a doctor or pharmacist about suitable products […] regularly apply a barrier cream or ointment, such as petroleum jelly, to affected areas […] wear cotton or silk underwear […] use lubricant if sex is uncomfortable. […] do not smoke […] do not scratch or rub the affected skin […] do not use scented soaps, bubble bath or shower gel […] do not wear tight or restrictive clothes, such as tight-fitting underwear […] do not wash your underwear with detergent just use water […] do not wear panty liners or use fragrance-free ones if you need to use them […] do not do activities like cycling or horse riding until your symptoms have improved […] do not smoke or go near naked flames if you use an emollient emollients are not flammable on the skin, but when they get on fabrics such as dressings, clothing and bedding they can catch fire more easily.

• #23 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. […] wash with an emollient soap substitute instead of regular soap ask a doctor or pharmacist about suitable products […] regularly apply a barrier cream or ointment, such as petroleum jelly, to affected areas […] wear cotton or silk underwear […] use lubricant if sex is uncomfortable. […] do not smoke […] do not scratch or rub the affected skin […] do not use scented soaps, bubble bath or shower gel […] do not wear tight or restrictive clothes, such as tight-fitting underwear […] do not wash your underwear with detergent just use water […] do not wear panty liners or use fragrance-free ones if you need to use them […] do not do activities like cycling or horse riding until your symptoms have improved […] do not smoke or go near naked flames if you use an emollient emollients are not flammable on the skin, but when they get on fabrics such as dressings, clothing and bedding they can catch fire more easily.

• #24 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. […] wash with an emollient soap substitute instead of regular soap ask a doctor or pharmacist about suitable products […] regularly apply a barrier cream or ointment, such as petroleum jelly, to affected areas […] wear cotton or silk underwear […] use lubricant if sex is uncomfortable. […] do not smoke […] do not scratch or rub the affected skin […] do not use scented soaps, bubble bath or shower gel […] do not wear tight or restrictive clothes, such as tight-fitting underwear […] do not wash your underwear with detergent just use water […] do not wear panty liners or use fragrance-free ones if you need to use them […] do not do activities like cycling or horse riding until your symptoms have improved […] do not smoke or go near naked flames if you use an emollient emollients are not flammable on the skin, but when they get on fabrics such as dressings, clothing and bedding they can catch fire more easily.

• #25 Lichen sclerosus | MichaelFreyMD

  https://www.michaelfreymd.com/ls

  Lichen sclerosus can be challenging to treat, and many women struggle with it for some time before finding relief. Conventional treatment typically focuses on the management of the symptoms and prevention of scarring. […] Some of my most important recommendations for treating lichen sclerosus involve developing good habits. […] Tightening up your diet and minimizing processed foods while increasing your intake of organic vegetables, fruits, and proteins is essential in most cases. […] Use lube for intercourse, especially if you’re post-menopausal. […] Just be careful what lube you choose, what’s in commercial lubricants can be irritants or endocrine disruptors. […] Wear cotton underwear, or at least with cotton on the inside. […] Cotton helps your vulva to breathe and cuts down on sweat. […] Wear loose pants. […] Always wipe front to back. […] Urinate and or wash off with water after sex. […] Wash your vulva with water only no soap required.

• #26 Lichen sclerosus | MichaelFreyMD

  https://www.michaelfreymd.com/ls

  Lichen sclerosus can be challenging to treat, and many women struggle with it for some time before finding relief. Conventional treatment typically focuses on the management of the symptoms and prevention of scarring. […] Some of my most important recommendations for treating lichen sclerosus involve developing good habits. […] Tightening up your diet and minimizing processed foods while increasing your intake of organic vegetables, fruits, and proteins is essential in most cases. […] Use lube for intercourse, especially if you’re post-menopausal. […] Just be careful what lube you choose, what’s in commercial lubricants can be irritants or endocrine disruptors. […] Wear cotton underwear, or at least with cotton on the inside. […] Cotton helps your vulva to breathe and cuts down on sweat. […] Wear loose pants. […] Always wipe front to back. […] Urinate and or wash off with water after sex. […] Wash your vulva with water only no soap required.

• #27 Vulvar Lichen Sclerosus – CRMC

  https://www.cuyunamed.org/knowledge-hub/vulvar-lichen-sclerosus/

  Lichen Sclerosus is a long-term skin disease that mainly affects the genital skin. […] There is no cure for Lichen Sclerosus, but the symptoms can usually be controlled extremely well by the use of strong steroid ointments. Proper treatment should prevent the development of further inflammation and scarring. […] All skin irritation should be avoided, as irritation will increase Lichen Sclerosus. Any infections from yeast or bacteria must be treated. […] The itch-scratch response is normal, but the steroid ointment and emollient treatment will help. Scratching the genital area is potentially harmful as it can damage the skin. […] If intercourse is painful, natural lubricants may help. If dryness is a problem and you are around the time of menopause, ask your healthcare provider about vaginal estrogens.

• #28 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. […] wash with an emollient soap substitute instead of regular soap ask a doctor or pharmacist about suitable products […] regularly apply a barrier cream or ointment, such as petroleum jelly, to affected areas […] wear cotton or silk underwear […] use lubricant if sex is uncomfortable. […] do not smoke […] do not scratch or rub the affected skin […] do not use scented soaps, bubble bath or shower gel […] do not wear tight or restrictive clothes, such as tight-fitting underwear […] do not wash your underwear with detergent just use water […] do not wear panty liners or use fragrance-free ones if you need to use them […] do not do activities like cycling or horse riding until your symptoms have improved […] do not smoke or go near naked flames if you use an emollient emollients are not flammable on the skin, but when they get on fabrics such as dressings, clothing and bedding they can catch fire more easily.

• #29

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

  If the skin patches are on the anus, vulva, or penis, treatment is important to prevent problems. […] Lichen sclerosis on the genitals can also increase your risk of skin cancer. Regular skin exams are recommended. […] Follow-up care is a key part of your treatment and safety. […] Be safe with medicines. If your doctor prescribed a cream, apply it exactly as directed. […] 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.

• #30

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

  If the skin patches are on the anus, vulva, or penis, treatment is important to prevent problems. […] Lichen sclerosis on the genitals can also increase your risk of skin cancer. Regular skin exams are recommended. […] Follow-up care is a key part of your treatment and safety. […] Be safe with medicines. If your doctor prescribed a cream, apply it exactly as directed. […] 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.

• #31 Vulval lichen sclerosus (LS) | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/worried-about-cancer/pre-cancerous-and-genetic-conditions/lichen-sclerosus-vulva

  Vulval LS is usually treated with a strong steroid ointment that you put on the affected area. Often a steroid called clobetasol proprionate (Dermovate) is used. […] The aim of treatment for vulval LS is to control the condition and any symptoms you have. This reduces the risk of long-term problems like scarring or narrowing of the vaginal opening. It may also reduce the risk of vulval cancer developing. […] Your doctor will also give you advice about things you can do to improve your symptoms, such as: avoid using soap, perfumes, talc or wet wipes on the vulva; wash with an emollient soap substitute; wash your hair over the sink or bath to protect the vulval skin from shampoo; avoid hot baths; wear loose fitting or no underwear; if you use a sanitary towel, use a non-perfumed type and change it regularly; use a plain emollient on the vulval skin, such as coconut oil; use a lubricant to protect the skin during penetrative sex. […] Vulval LS is a long-term condition that cannot be cured. It is usually possible to control the symptoms, and this prevents further damage to the skin.

• #32 Lichen Sclerosus | Condition | UT Southwestern Medical Center

  https://utswmed.org/conditions-treatments/lichen-sclerosus/

  There is no known cure for lichen sclerosus, but several treatments can help reduce symptoms, minimize scarring, and prevent the condition from worsening. Affected areas in the genital and anal regions always require intervention. Additionally, patients may have more than one contributing factor, including urinary incontinence, irritant contact dermatitis, allergic contact dermatitis, or candidiasis. It is important to address each condition. […] The following practices can help reduce symptoms of lichen sclerosus in women: Wearing loose-fitting clothing and cotton underwear, avoiding douches, feminine sprays, lotions, and scented detergents and soaps, not washing your genitals with soap, not washing the vulva with a washcloth, patting (not rubbing) the vulva dry after washing, abstaining from moist wipes, treating urinary or fecal incontinence. […] Working with providers experienced in treating patients with lichen sclerosus is important to get this disorder under control. Once the condition is in remission, follow-up appointments with us or the referring provider are recommended.

• #33 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. […] wash with an emollient soap substitute instead of regular soap ask a doctor or pharmacist about suitable products […] regularly apply a barrier cream or ointment, such as petroleum jelly, to affected areas […] wear cotton or silk underwear […] use lubricant if sex is uncomfortable. […] do not smoke […] do not scratch or rub the affected skin […] do not use scented soaps, bubble bath or shower gel […] do not wear tight or restrictive clothes, such as tight-fitting underwear […] do not wash your underwear with detergent just use water […] do not wear panty liners or use fragrance-free ones if you need to use them […] do not do activities like cycling or horse riding until your symptoms have improved […] do not smoke or go near naked flames if you use an emollient emollients are not flammable on the skin, but when they get on fabrics such as dressings, clothing and bedding they can catch fire more easily.

• #34 Vulvar Lichen Sclerosus – CRMC

  https://www.cuyunamed.org/knowledge-hub/vulvar-lichen-sclerosus/

  Lichen Sclerosus is a long-term skin disease that mainly affects the genital skin. […] There is no cure for Lichen Sclerosus, but the symptoms can usually be controlled extremely well by the use of strong steroid ointments. Proper treatment should prevent the development of further inflammation and scarring. […] All skin irritation should be avoided, as irritation will increase Lichen Sclerosus. Any infections from yeast or bacteria must be treated. […] The itch-scratch response is normal, but the steroid ointment and emollient treatment will help. Scratching the genital area is potentially harmful as it can damage the skin. […] If intercourse is painful, natural lubricants may help. If dryness is a problem and you are around the time of menopause, ask your healthcare provider about vaginal estrogens.

• #35 Vulvar Lichen Sclerosus – CRMC

  https://www.cuyunamed.org/knowledge-hub/vulvar-lichen-sclerosus/

  Lichen Sclerosus is a long-term skin disease that mainly affects the genital skin. […] There is no cure for Lichen Sclerosus, but the symptoms can usually be controlled extremely well by the use of strong steroid ointments. Proper treatment should prevent the development of further inflammation and scarring. […] All skin irritation should be avoided, as irritation will increase Lichen Sclerosus. Any infections from yeast or bacteria must be treated. […] The itch-scratch response is normal, but the steroid ointment and emollient treatment will help. Scratching the genital area is potentially harmful as it can damage the skin. […] If intercourse is painful, natural lubricants may help. If dryness is a problem and you are around the time of menopause, ask your healthcare provider about vaginal estrogens.

• #36 Lichen sclerosus fact sheet – Melbourne Sexual Health Centre (MSHC)

  https://www.mshc.org.au/sexual-health/sexual-health-fact-sheets/lichen-sclerosus-fact-sheet

  Lichen sclerosus is not contagious and cannot be passed from one person to another through skin to skin contact. […] The best treatment is strong steroid ointment or cream. Your doctor can prescribe this. You must use enough to prevent all symptoms (such as itch or soreness) and suppress active disease. Where there have never been symptoms, treatment is still necessary. […] Once active lichen sclerosus is stabilised, most people are prescribed maintenance therapy to reduce or prevent the skin inflammation coming back. The minimum recommended frequency of maintenance treatment is once per week. Ointments are preferred to creams in most cases. […] With or without symptoms, a level of ongoing, lifelong treatment is usually recommended and an annual check-up is needed. We encourage people to self-check their genital skin. […] The regular use of low irritant, non-perfumed moisturisers (like sorbolene cream) can help with skin dryness.

• #37 Advances in Understanding Vulva Lichen Sclerosus: Pathogenesis and Treatment

  https://www.gavinpublishers.com/article/view/advances-in-understanding-vulva-lichen-sclerosus-pathogenesis-and-treatment

  The long-term goal was to preserve normal skin color and texture, rather than just controlling symptoms. […] The Consensus on the Clinical Diagnosis and Treatment of Vulvar Lichen Sclerosus in Women (2021 Edition) indicates that topical corticosteroids are the first-line treatment for VLS, divided into an induction and maintenance phase. […] In the maintenance phase, low-dose topical corticosteroid ointment or cream is used lifelong to control vulvar symptoms, reduce recurrence rates, and lower the risk of vulvar adhesion formation and malignancy. […] The pathogenesis of vulvar lichen sclerosus (VLS) is associated with multiple factors, including immune factors, genetic factors, and infectious factors. Currently, there is a lack of treatment options that provide stable efficacy and prevent recurrence.

• #38 Lichen Sclerosus > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/lichen-sclerosus

  Lichen sclerosus may go undiagnosed for years because women are often too embarrassed to tell their doctor about their symptoms, says Amanda Zubek, MD, a Yale Medicine dermatologist. When caught early, prompt treatment can prevent a lifetime of debilitating itch and painful genital scarring. […] A long-term maintenance treatment regimen is very important, and not just to prevent or treat symptom recurrence. Treatment to maintain normal skin color and texture reduces scarring and may prevent progression to skin cancer, says Yale Medicine dermatologist Alicia Little, MD, PhD. […] We start with potent topical steroids and educate the patient on the importance of continued treatment. Even if they don’t have symptoms, preventing severe scarring or cancer is a priority, Dr. Zubek says.

• #39 Lichen sclerosus fact sheet – Melbourne Sexual Health Centre (MSHC)

  https://www.mshc.org.au/sexual-health/sexual-health-fact-sheets/lichen-sclerosus-fact-sheet

  Lichen sclerosus is not contagious and cannot be passed from one person to another through skin to skin contact. […] The best treatment is strong steroid ointment or cream. Your doctor can prescribe this. You must use enough to prevent all symptoms (such as itch or soreness) and suppress active disease. Where there have never been symptoms, treatment is still necessary. […] Once active lichen sclerosus is stabilised, most people are prescribed maintenance therapy to reduce or prevent the skin inflammation coming back. The minimum recommended frequency of maintenance treatment is once per week. Ointments are preferred to creams in most cases. […] With or without symptoms, a level of ongoing, lifelong treatment is usually recommended and an annual check-up is needed. We encourage people to self-check their genital skin. […] The regular use of low irritant, non-perfumed moisturisers (like sorbolene cream) can help with skin dryness.

• #40 Advances in Understanding Vulva Lichen Sclerosus: Pathogenesis and Treatment

  https://www.gavinpublishers.com/article/view/advances-in-understanding-vulva-lichen-sclerosus-pathogenesis-and-treatment

  The long-term goal was to preserve normal skin color and texture, rather than just controlling symptoms. […] The Consensus on the Clinical Diagnosis and Treatment of Vulvar Lichen Sclerosus in Women (2021 Edition) indicates that topical corticosteroids are the first-line treatment for VLS, divided into an induction and maintenance phase. […] In the maintenance phase, low-dose topical corticosteroid ointment or cream is used lifelong to control vulvar symptoms, reduce recurrence rates, and lower the risk of vulvar adhesion formation and malignancy. […] The pathogenesis of vulvar lichen sclerosus (VLS) is associated with multiple factors, including immune factors, genetic factors, and infectious factors. Currently, there is a lack of treatment options that provide stable efficacy and prevent recurrence.

• #41 Advances in Understanding Vulva Lichen Sclerosus: Pathogenesis and Treatment

  https://www.gavinpublishers.com/article/view/advances-in-understanding-vulva-lichen-sclerosus-pathogenesis-and-treatment

  The long-term goal was to preserve normal skin color and texture, rather than just controlling symptoms. […] The Consensus on the Clinical Diagnosis and Treatment of Vulvar Lichen Sclerosus in Women (2021 Edition) indicates that topical corticosteroids are the first-line treatment for VLS, divided into an induction and maintenance phase. […] In the maintenance phase, low-dose topical corticosteroid ointment or cream is used lifelong to control vulvar symptoms, reduce recurrence rates, and lower the risk of vulvar adhesion formation and malignancy. […] The pathogenesis of vulvar lichen sclerosus (VLS) is associated with multiple factors, including immune factors, genetic factors, and infectious factors. Currently, there is a lack of treatment options that provide stable efficacy and prevent recurrence.

• #42 Guideline to reduce the risk of vulvar cancer associated with lichen sclerosus

  https://fundacionnixarian.org/en/guideline-to-reduce-the-risk-of-vulvar-cancer-associated-with-lichen-sclerosus/

  Vulvar Lichen Sclerosus (VLS or simply LS) is a skin condition that, in addition to its bothersome symptoms, is associated with an increased risk of vulvar cancer. In this article, we will explore nine key guidelines to reduce this risk and promote overall health in women affected by Vulvar Lichen Sclerosus. Discover how adopting healthy habits can make a difference in long-term cancer prevention. […] It is important that you follow a long-term treatment in order to keep track of the disease and to be able to control possible complications. […] We recommend that you go for a check-up with your LEV doctor every 6 to 12 months to properly monitor the condition and assess whether your treatment is working. […] The most common treatment for lichen sclerosus is a prescription corticosteroid cream. Long-term use of this cream, 2 to 3 times a week, can help prevent symptoms from recurring.

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

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

  Vulvar Lichen Sclerosus (LS) is a chronic inflammatory condition affecting the vulva, primarily impacting around 1% of women who are often diagnosed around menopause. […] Regular follow-ups are crucial to monitor symptoms and prevent further complications, including the approximately 5% risk of progression to vulvar cancer if lichen sclerosus remains untreated. […] Managing Lichen Sclerosus requires ongoing treatment as it is a chronic condition for which there is currently no cure. […] Consistent use of topical steroids is key to controlling your symptoms and preventing the progression of the disease. […] A treatment plan should be implemented to include: […] 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.

• #44

  https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=bo1202&

  If the skin patches are on the anus, vulva, or penis, treatment is important to prevent problems. […] Lichen sclerosis on the genitals can also increase the risk of skin cancer. Regular skin exams are recommended.

• #45 Vulvar Lichen Sclerosus Specialist Melbourne | Dr Len Kliman

  https://drlenkliman.com.au/services/vulval-and-vaginal-skin-disorders/vulvar-lichen-sclerosus/

  There is no total cure for LS but the symptoms can be controlled extremely well by the use of strong steroid ointments. […] Appropriate treatment is aimed at trying to prevent the development of further inflammation and scarring. […] All skin irritation should be avoided as far as possible, as irritation may increase the symptoms of LS. […] Any infections from yeast to bacteria must be treated. […] It is ideal to clean the vulva using ones fingertips and warm water over the surface. […] Scratching the genital area is potentially harmful as it can damage the skin and keep symptoms ongoing for some time. […] If intercourse is painful this can be helped with natural gentle oil based lubricants. […] Early treatment may reduce this risk even further. […] It is a good idea to get used to examining the genital skin yourself at least monthly, if you are able to. […] We advise patients with LS to have a gynaecological examination by Dr Kliman at least once a year, but twice per year is safer and preferable.

• #46 Guideline to reduce the risk of vulvar cancer associated with lichen sclerosus

  https://fundacionnixarian.org/en/guideline-to-reduce-the-risk-of-vulvar-cancer-associated-with-lichen-sclerosus/

  Vulvar Lichen Sclerosus (VLS or simply LS) is a skin condition that, in addition to its bothersome symptoms, is associated with an increased risk of vulvar cancer. In this article, we will explore nine key guidelines to reduce this risk and promote overall health in women affected by Vulvar Lichen Sclerosus. Discover how adopting healthy habits can make a difference in long-term cancer prevention. […] It is important that you follow a long-term treatment in order to keep track of the disease and to be able to control possible complications. […] We recommend that you go for a check-up with your LEV doctor every 6 to 12 months to properly monitor the condition and assess whether your treatment is working. […] The most common treatment for lichen sclerosus is a prescription corticosteroid cream. Long-term use of this cream, 2 to 3 times a week, can help prevent symptoms from recurring.

• #47 Lichen sclerosus fact sheet – Melbourne Sexual Health Centre (MSHC)

  https://www.mshc.org.au/sexual-health/sexual-health-fact-sheets/lichen-sclerosus-fact-sheet

  Lichen sclerosus is not contagious and cannot be passed from one person to another through skin to skin contact. […] The best treatment is strong steroid ointment or cream. Your doctor can prescribe this. You must use enough to prevent all symptoms (such as itch or soreness) and suppress active disease. Where there have never been symptoms, treatment is still necessary. […] Once active lichen sclerosus is stabilised, most people are prescribed maintenance therapy to reduce or prevent the skin inflammation coming back. The minimum recommended frequency of maintenance treatment is once per week. Ointments are preferred to creams in most cases. […] With or without symptoms, a level of ongoing, lifelong treatment is usually recommended and an annual check-up is needed. We encourage people to self-check their genital skin. […] The regular use of low irritant, non-perfumed moisturisers (like sorbolene cream) can help with skin dryness.

• #48 Vulvar Lichen Sclerosus Specialist Melbourne | Dr Len Kliman

  https://drlenkliman.com.au/services/vulval-and-vaginal-skin-disorders/vulvar-lichen-sclerosus/

  There is no total cure for LS but the symptoms can be controlled extremely well by the use of strong steroid ointments. […] Appropriate treatment is aimed at trying to prevent the development of further inflammation and scarring. […] All skin irritation should be avoided as far as possible, as irritation may increase the symptoms of LS. […] Any infections from yeast to bacteria must be treated. […] It is ideal to clean the vulva using ones fingertips and warm water over the surface. […] Scratching the genital area is potentially harmful as it can damage the skin and keep symptoms ongoing for some time. […] If intercourse is painful this can be helped with natural gentle oil based lubricants. […] Early treatment may reduce this risk even further. […] It is a good idea to get used to examining the genital skin yourself at least monthly, if you are able to. […] We advise patients with LS to have a gynaecological examination by Dr Kliman at least once a year, but twice per year is safer and preferable.

• #49 Guideline to reduce the risk of vulvar cancer associated with lichen sclerosus

  https://fundacionnixarian.org/en/guideline-to-reduce-the-risk-of-vulvar-cancer-associated-with-lichen-sclerosus/

  It is important that if you have lesions in the affected area that do not heal despite adequate treatment, a biopsy of these lesions is performed to rule out possible complications. […] By implementing these guidelines, you are not only taking steps to mitigate the symptoms of Vulvar Lichen Sclerosus, but you are also strengthening your defense against the risk of vulvar cancer. […] Prevention and self-care are powerful tools in the management of this condition, in addition to helping you in your well-being. Remember that your health is a priority and that every step you take towards self-care is a step towards a healthier future.

• #50

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

  If the skin patches are on the anus, vulva, or penis, treatment is important to prevent problems. […] Lichen sclerosis on the genitals can also increase your risk of skin cancer. Regular skin exams are recommended. […] Follow-up care is a key part of your treatment and safety. […] Be safe with medicines. If your doctor prescribed a cream, apply it exactly as directed. […] 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.

• #51

  https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=bo1202&

  If the skin patches are on the anus, vulva, or penis, treatment is important to prevent problems. […] Lichen sclerosis on the genitals can also increase the risk of skin cancer. Regular skin exams are recommended.

• #52 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

  Lichen sclerosus is fairly easy to diagnose by clinicians familiar with the disease and good treatment is available. […] 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. […] Even if the disease is causing her little or no symptoms it should be treated to help prevent scarring. […] To minimize these scarring complications, it is important to start treatment early, before scarring has occurred, and to treat any flare-ups right away. […] Because it is not known whether or not young girls with lichen sclerosus have an increased risk of developing vulvar squamous cell carcinoma later in life, it makes sense that all girls with lichen sclerosus be monitored for life by an experienced clinician.

• #53 Guideline to reduce the risk of vulvar cancer associated with lichen sclerosus

  https://fundacionnixarian.org/en/guideline-to-reduce-the-risk-of-vulvar-cancer-associated-with-lichen-sclerosus/

  Treatment with corticosteroid cream can control your itching and discomfort, as well as prevent scar formation. […] It is important that you visit your lichen sclerosus specialist regularly to confirm that your lichen sclerosus treatment is working, check for side effects from the treatment, and watch for any other new changes in your skin that warrant further evaluation by him or her. […] Keep symptoms well controlled with the recommended treatment as this can help reduce the chance of complications associated with vulvar lichen sclerosus. […] Avoid sustained stress over time, as it can influence the occurrence of flare-ups and worsen vulvar lichen sclerosus symptoms. […] Lead a healthy lifestyle, including a balanced diet, regular exercise and adequate rest, to contribute to your overall well-being and, potentially, to the management of vulvar lichen sclerosus symptoms.

• #54 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. […] wash with an emollient soap substitute instead of regular soap ask a doctor or pharmacist about suitable products […] regularly apply a barrier cream or ointment, such as petroleum jelly, to affected areas […] wear cotton or silk underwear […] use lubricant if sex is uncomfortable. […] do not smoke […] do not scratch or rub the affected skin […] do not use scented soaps, bubble bath or shower gel […] do not wear tight or restrictive clothes, such as tight-fitting underwear […] do not wash your underwear with detergent just use water […] do not wear panty liners or use fragrance-free ones if you need to use them […] do not do activities like cycling or horse riding until your symptoms have improved […] do not smoke or go near naked flames if you use an emollient emollients are not flammable on the skin, but when they get on fabrics such as dressings, clothing and bedding they can catch fire more easily.

• #55 Guideline to reduce the risk of vulvar cancer associated with lichen sclerosus

  https://fundacionnixarian.org/en/guideline-to-reduce-the-risk-of-vulvar-cancer-associated-with-lichen-sclerosus/

  Treatment with corticosteroid cream can control your itching and discomfort, as well as prevent scar formation. […] It is important that you visit your lichen sclerosus specialist regularly to confirm that your lichen sclerosus treatment is working, check for side effects from the treatment, and watch for any other new changes in your skin that warrant further evaluation by him or her. […] Keep symptoms well controlled with the recommended treatment as this can help reduce the chance of complications associated with vulvar lichen sclerosus. […] Avoid sustained stress over time, as it can influence the occurrence of flare-ups and worsen vulvar lichen sclerosus symptoms. […] Lead a healthy lifestyle, including a balanced diet, regular exercise and adequate rest, to contribute to your overall well-being and, potentially, to the management of vulvar lichen sclerosus symptoms.

• #56 Guideline to reduce the risk of vulvar cancer associated with lichen sclerosus

  https://fundacionnixarian.org/en/guideline-to-reduce-the-risk-of-vulvar-cancer-associated-with-lichen-sclerosus/

  Treatment with corticosteroid cream can control your itching and discomfort, as well as prevent scar formation. […] It is important that you visit your lichen sclerosus specialist regularly to confirm that your lichen sclerosus treatment is working, check for side effects from the treatment, and watch for any other new changes in your skin that warrant further evaluation by him or her. […] Keep symptoms well controlled with the recommended treatment as this can help reduce the chance of complications associated with vulvar lichen sclerosus. […] Avoid sustained stress over time, as it can influence the occurrence of flare-ups and worsen vulvar lichen sclerosus symptoms. […] Lead a healthy lifestyle, including a balanced diet, regular exercise and adequate rest, to contribute to your overall well-being and, potentially, to the management of vulvar lichen sclerosus symptoms.

• #57 Lichen sclerosus | MichaelFreyMD

  https://www.michaelfreymd.com/ls

  Lichen sclerosus can be challenging to treat, and many women struggle with it for some time before finding relief. Conventional treatment typically focuses on the management of the symptoms and prevention of scarring. […] Some of my most important recommendations for treating lichen sclerosus involve developing good habits. […] Tightening up your diet and minimizing processed foods while increasing your intake of organic vegetables, fruits, and proteins is essential in most cases. […] Use lube for intercourse, especially if you’re post-menopausal. […] Just be careful what lube you choose, what’s in commercial lubricants can be irritants or endocrine disruptors. […] Wear cotton underwear, or at least with cotton on the inside. […] Cotton helps your vulva to breathe and cuts down on sweat. […] Wear loose pants. […] Always wipe front to back. […] Urinate and or wash off with water after sex. […] Wash your vulva with water only no soap required.

• #58 Lichen Sclerosus | Condition | UT Southwestern Medical Center

  https://utswmed.org/conditions-treatments/lichen-sclerosus/

  There is no known cure for lichen sclerosus, but several treatments can help reduce symptoms, minimize scarring, and prevent the condition from worsening. Affected areas in the genital and anal regions always require intervention. Additionally, patients may have more than one contributing factor, including urinary incontinence, irritant contact dermatitis, allergic contact dermatitis, or candidiasis. It is important to address each condition. […] The following practices can help reduce symptoms of lichen sclerosus in women: Wearing loose-fitting clothing and cotton underwear, avoiding douches, feminine sprays, lotions, and scented detergents and soaps, not washing your genitals with soap, not washing the vulva with a washcloth, patting (not rubbing) the vulva dry after washing, abstaining from moist wipes, treating urinary or fecal incontinence. […] Working with providers experienced in treating patients with lichen sclerosus is important to get this disorder under control. Once the condition is in remission, follow-up appointments with us or the referring provider are recommended.

• #59 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. […] wash with an emollient soap substitute instead of regular soap ask a doctor or pharmacist about suitable products […] regularly apply a barrier cream or ointment, such as petroleum jelly, to affected areas […] wear cotton or silk underwear […] use lubricant if sex is uncomfortable. […] do not smoke […] do not scratch or rub the affected skin […] do not use scented soaps, bubble bath or shower gel […] do not wear tight or restrictive clothes, such as tight-fitting underwear […] do not wash your underwear with detergent just use water […] do not wear panty liners or use fragrance-free ones if you need to use them […] do not do activities like cycling or horse riding until your symptoms have improved […] do not smoke or go near naked flames if you use an emollient emollients are not flammable on the skin, but when they get on fabrics such as dressings, clothing and bedding they can catch fire more easily.

• #60 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. […] wash with an emollient soap substitute instead of regular soap ask a doctor or pharmacist about suitable products […] regularly apply a barrier cream or ointment, such as petroleum jelly, to affected areas […] wear cotton or silk underwear […] use lubricant if sex is uncomfortable. […] do not smoke […] do not scratch or rub the affected skin […] do not use scented soaps, bubble bath or shower gel […] do not wear tight or restrictive clothes, such as tight-fitting underwear […] do not wash your underwear with detergent just use water […] do not wear panty liners or use fragrance-free ones if you need to use them […] do not do activities like cycling or horse riding until your symptoms have improved […] do not smoke or go near naked flames if you use an emollient emollients are not flammable on the skin, but when they get on fabrics such as dressings, clothing and bedding they can catch fire more easily.

• #61 Vulvar Lichen Sclerosus – CRMC

  https://www.cuyunamed.org/knowledge-hub/vulvar-lichen-sclerosus/

  Lichen Sclerosus is a long-term skin disease that mainly affects the genital skin. […] There is no cure for Lichen Sclerosus, but the symptoms can usually be controlled extremely well by the use of strong steroid ointments. Proper treatment should prevent the development of further inflammation and scarring. […] All skin irritation should be avoided, as irritation will increase Lichen Sclerosus. Any infections from yeast or bacteria must be treated. […] The itch-scratch response is normal, but the steroid ointment and emollient treatment will help. Scratching the genital area is potentially harmful as it can damage the skin. […] If intercourse is painful, natural lubricants may help. If dryness is a problem and you are around the time of menopause, ask your healthcare provider about vaginal estrogens.

• #62 Lichen sclerosus | MichaelFreyMD

  https://www.michaelfreymd.com/ls

  Lichen sclerosus can be challenging to treat, and many women struggle with it for some time before finding relief. Conventional treatment typically focuses on the management of the symptoms and prevention of scarring. […] Some of my most important recommendations for treating lichen sclerosus involve developing good habits. […] Tightening up your diet and minimizing processed foods while increasing your intake of organic vegetables, fruits, and proteins is essential in most cases. […] Use lube for intercourse, especially if you’re post-menopausal. […] Just be careful what lube you choose, what’s in commercial lubricants can be irritants or endocrine disruptors. […] Wear cotton underwear, or at least with cotton on the inside. […] Cotton helps your vulva to breathe and cuts down on sweat. […] Wear loose pants. […] Always wipe front to back. […] Urinate and or wash off with water after sex. […] Wash your vulva with water only no soap required.

• #63 Vulval lichen sclerosus (LS) | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/worried-about-cancer/pre-cancerous-and-genetic-conditions/lichen-sclerosus-vulva

  Vulval LS is usually treated with a strong steroid ointment that you put on the affected area. Often a steroid called clobetasol proprionate (Dermovate) is used. […] The aim of treatment for vulval LS is to control the condition and any symptoms you have. This reduces the risk of long-term problems like scarring or narrowing of the vaginal opening. It may also reduce the risk of vulval cancer developing. […] Your doctor will also give you advice about things you can do to improve your symptoms, such as: avoid using soap, perfumes, talc or wet wipes on the vulva; wash with an emollient soap substitute; wash your hair over the sink or bath to protect the vulval skin from shampoo; avoid hot baths; wear loose fitting or no underwear; if you use a sanitary towel, use a non-perfumed type and change it regularly; use a plain emollient on the vulval skin, such as coconut oil; use a lubricant to protect the skin during penetrative sex. […] Vulval LS is a long-term condition that cannot be cured. It is usually possible to control the symptoms, and this prevents further damage to the skin.

• #64 Vulvar Lichen Sclerosus – CRMC

  https://www.cuyunamed.org/knowledge-hub/vulvar-lichen-sclerosus/

  Lichen Sclerosus is a long-term skin disease that mainly affects the genital skin. […] There is no cure for Lichen Sclerosus, but the symptoms can usually be controlled extremely well by the use of strong steroid ointments. Proper treatment should prevent the development of further inflammation and scarring. […] All skin irritation should be avoided, as irritation will increase Lichen Sclerosus. Any infections from yeast or bacteria must be treated. […] The itch-scratch response is normal, but the steroid ointment and emollient treatment will help. Scratching the genital area is potentially harmful as it can damage the skin. […] If intercourse is painful, natural lubricants may help. If dryness is a problem and you are around the time of menopause, ask your healthcare provider about vaginal estrogens.

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

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

  Though you cant prevent lichen sclerosus, you may be able to relieve symptoms with lifestyle changes. […] To reduce friction and irritation, you should: Establish a skincare routine, including regularly washing with soap and clean water and moisturizing, and follow your healthcare professionals recommendations for keeping your skin healthy. […] Early circumcision may also reduce the odds of developing lichen sclerosus.

• #66

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

  If the skin patches are on the anus, vulva, or penis, treatment is important to prevent problems. […] Lichen sclerosis on the genitals can also increase your risk of skin cancer. Regular skin exams are recommended. […] Follow-up care is a key part of your treatment and safety. […] Be safe with medicines. If your doctor prescribed a cream, apply it exactly as directed. […] 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.

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

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

  Vulvar Lichen Sclerosus (LS) is a chronic inflammatory condition affecting the vulva, primarily impacting around 1% of women who are often diagnosed around menopause. […] Regular follow-ups are crucial to monitor symptoms and prevent further complications, including the approximately 5% risk of progression to vulvar cancer if lichen sclerosus remains untreated. […] Managing Lichen Sclerosus requires ongoing treatment as it is a chronic condition for which there is currently no cure. […] Consistent use of topical steroids is key to controlling your symptoms and preventing the progression of the disease. […] A treatment plan should be implemented to include: […] 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.

• #68 Advances in Understanding Vulva Lichen Sclerosus: Pathogenesis and Treatment

  https://www.gavinpublishers.com/article/view/advances-in-understanding-vulva-lichen-sclerosus-pathogenesis-and-treatment

  The ultimate goal for VLS patients undergoing specific treatments is to no longer be affected by symptoms such as pain and sexual dysfunction in their daily lives. Achieving objective normalcy in skin color and texture is a further crucial milestone in treatment. Additionally, the purpose of treatment is also to prevent the development of more severe forms of the disease, such as vulvar malignancies.

• #69 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. […] This article describes common lichen sclerosus treatments. It also discusses ways to avoid flares and prevent the problem from becoming severe. […] It is advised to treat all cases of genital lichen sclerosus even those that are asymptomatic to preserve your quality of life and prevent scarring. Therapy can also reduce the risk of anatomical, sexual, and urinary dysfunction. […] People who have lichen sclerosus may be counseled to take the following steps to improve their treatment results: […] Follow through with treatment of asymptomatic lichen sclerosus to prevent scarring that could lead to sexual and urinary problems. […] Lichen sclerosus is an incurable condition that requires lifelong maintenance. Without treatment or self-care, it can cause serious complications.

• #70 There is Hope for Vulvar Lichen Sclerosus

  https://coyleinstitute.com/there-is-hope-for-vulvar-lichen-sclerosus/

  Even if they aren’t painful or itchy, patches on the genital skin should be treated to prevent scarring, which can interfere with normal urination and with sexual intercourse. […] If you suspect you have lichen sclerosus, early treatment is urgent to help prevent scarring and its associated risks.

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

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

  Vulvar Lichen Sclerosus (LS) is a chronic inflammatory condition affecting the vulva, primarily impacting around 1% of women who are often diagnosed around menopause. […] Regular follow-ups are crucial to monitor symptoms and prevent further complications, including the approximately 5% risk of progression to vulvar cancer if lichen sclerosus remains untreated. […] Managing Lichen Sclerosus requires ongoing treatment as it is a chronic condition for which there is currently no cure. […] Consistent use of topical steroids is key to controlling your symptoms and preventing the progression of the disease. […] A treatment plan should be implemented to include: […] 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.

• #72 Vulval lichen sclerosus – diagnosis and treatment | Medicine Today

  https://medicinetoday.com.au/mt/2019/january/feature-article/vulval-lichen-sclerosus-%E2%80%93-diagnosis-and-treatment

  A prospective study of VLS in 507 adult women compared patients who adhered to treatment and those who did not. It demonstrated that TCS treatment that kept the skin objectively normal also resulted in minimal scarring and greatly reduced the risk of cancer. […] These studies suggest that treatment might change the course of the disease, reducing the risk of cancer and scarring, and the Australian observational study has now provided compelling evidence that this is the case.

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

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

  Vulvar Lichen Sclerosus (LS) is a chronic inflammatory condition affecting the vulva, primarily impacting around 1% of women who are often diagnosed around menopause. […] Regular follow-ups are crucial to monitor symptoms and prevent further complications, including the approximately 5% risk of progression to vulvar cancer if lichen sclerosus remains untreated. […] Managing Lichen Sclerosus requires ongoing treatment as it is a chronic condition for which there is currently no cure. […] Consistent use of topical steroids is key to controlling your symptoms and preventing the progression of the disease. […] A treatment plan should be implemented to include: […] 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.

• #74

  https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=bo1202&

  If the skin patches are on the anus, vulva, or penis, treatment is important to prevent problems. […] Lichen sclerosis on the genitals can also increase the risk of skin cancer. Regular skin exams are recommended.

• #75 Vulval lichen sclerosus – diagnosis and treatment | Medicine Today

  https://medicinetoday.com.au/mt/2019/january/feature-article/vulval-lichen-sclerosus-%E2%80%93-diagnosis-and-treatment

  A prospective study of VLS in 507 adult women compared patients who adhered to treatment and those who did not. It demonstrated that TCS treatment that kept the skin objectively normal also resulted in minimal scarring and greatly reduced the risk of cancer. […] These studies suggest that treatment might change the course of the disease, reducing the risk of cancer and scarring, and the Australian observational study has now provided compelling evidence that this is the case.

• #76 Guideline to reduce the risk of vulvar cancer associated with lichen sclerosus

  https://fundacionnixarian.org/en/guideline-to-reduce-the-risk-of-vulvar-cancer-associated-with-lichen-sclerosus/

  It is important that if you have lesions in the affected area that do not heal despite adequate treatment, a biopsy of these lesions is performed to rule out possible complications. […] By implementing these guidelines, you are not only taking steps to mitigate the symptoms of Vulvar Lichen Sclerosus, but you are also strengthening your defense against the risk of vulvar cancer. […] Prevention and self-care are powerful tools in the management of this condition, in addition to helping you in your well-being. Remember that your health is a priority and that every step you take towards self-care is a step towards a healthier future.

• #77 Advances in Understanding Vulva Lichen Sclerosus: Pathogenesis and Treatment

  https://www.gavinpublishers.com/article/view/advances-in-understanding-vulva-lichen-sclerosus-pathogenesis-and-treatment

  The ultimate goal for VLS patients undergoing specific treatments is to no longer be affected by symptoms such as pain and sexual dysfunction in their daily lives. Achieving objective normalcy in skin color and texture is a further crucial milestone in treatment. Additionally, the purpose of treatment is also to prevent the development of more severe forms of the disease, such as vulvar malignancies.

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