Lichen sclerosus is an inflammatory skin disorder that primarily affects the genital and perianal areas. While not fully curable, there are various methods that can be used to treat this condition.
Lichen Sclerosus Overview
Chances are, you have never heard of lichen sclerosus, even though it affects roughly three percent of the UK’s women. It is characterized by white, patchy skin that may appear thinner than normal. Lichen sclerosus can cause several discomforts, like itching and scarring.
Lichen sclerosus is often misdiagnosed as thrush, as the symptoms may appear similar. However, traditional treatments prescribed for thrush, such as an anti-fungal cream, will not lessen the symptoms of lichen sclerosus.
Lichen sclerosus is a chronic disorder, which means that once you develop it, it may last your entire life. However, with the right lichen sclerosus treatment, it may feel as if you never got it in the first place, as the symptoms will diminish. Here are the most common methods used to treat this condition.
Topical Steroids
Topical steroids are often the first line of treatment for lichen sclerosus, as they can help reduce inflammation and itching. However, with prolonged use, your body may build up immunity, and they may no longer be effective.
Alternative Topical Treatments
Some patients’ bodies may not be able to tolerate topical steroids. For these patients, topical calcineurin inhibitors like tacrolimus and pimecrolimus may be a good fit. While they are generally well tolerated, their long-term effects are unknown, and there are risks of them potentially being unsafe.
Phototherapy
When phototherapy is used to treat lichen sclerosus, affected areas are exposed to wavelengths of ultraviolet light. This treatment can help reduce inflammation and itching, but it may increase the risk of skin cancer in the long term. It is important to discuss the potential risks and benefits with your healthcare provider before starting phototherapy for lichen sclerosus.
Surgery
In cases where this condition has not responded to other treatments, surgery may be recommended. Surgical options for lichen sclerosus include removing scar tissue or performing a labiaplasty.
Fat Transplant
Lichen sclerosus can be treated by fat transplant therapy. This means fat is taken from a different area of the body, such as the legs, and injected into the vagina. While it may help at first, the procedure may require the patient to rest for a prolonged period of time.
Emollients and Moisturizers
Emollients and moisturizers can help soothe the symptoms of lichen sclerosus by keeping the skin hydrated and reducing itching. It is important to choose products that are gentle and fragrance-free to avoid irritation.
The O-Shot
The O-Shot is a non-surgical treatment used to improve sexual function and treat lichen sclerosus. Platelet-rich plasma is injected into the vaginal tissue to stimulate collagen production and improve blood flow. This procedure can potentially provide long-lasting relief for the symptoms of lichen sclerosus.
Final Words
Lichen sclerosus is a bothersome condition, but with the right treatment options, it is possible to manage symptoms effectively and improve quality of life. Seeking medical advice and exploring different treatment options can help individuals find relief from the discomfort associated with lichen sclerosus. It is important to prioritize self-care and follow a personalized treatment plan recommended by a healthcare provider.
