Lichen sclerosus : Causes-Symptoms-Diagnosis-Treatment

 What is lichen sclerosus?

Lichen sclerosus is AN inflammatory disorder that affects skin on your private parts. It causes irritation, skin changes, skin sensation and pain. It’s commonest in individuals allotted feminine at birth, together with girls United Nations agency are through climacteric and women United Nations agency haven’t started time of life. There’s no cure for lichen sclerosus, however treatment will relieve symptoms.

Lichen sclerosus may be a disorder which will have an effect on the skin on your fanny (the space outside your vagina), orifice or erectile organ. It causes your skin to become discolored, thin, irritated and fidgety. Blisters and sores (usually from persistent itching) can also type on your private parts. seldom do these symptoms seem on different body elements.

What is lichen sclerosus?
lichen sclerosus

Untreated, lichen sclerosus will cause scarring, creating it troublesome or painful to possess sex, urinate or have a laxative. There's no cure for lichen sclerosus, however symptoms will be controlled. care suppliers will treat symptoms, however they'll come back once treatment. Having lichen sclerosus will increase your possibilities of developing a kind of carcinoma referred to as epithelial cell cancer if left untreated.

Lichen sclerosus is rare. About 200,000 individuals within the u. s. have the condition. It affects individuals of all genders. Individuals allotted feminine at birth are additionally possible to develop the condition, however individuals allotted male at birth are also affected, too.

Lichen sclerosus (also referred to as white spot disease) is commonest in those who are climacteric. It’s presumably to develop between ages forty and sixty. women United Nations agency haven’t started time of life even have a better risk. Less ordinarily, lichen sclerosus affects men United Nations agency haven’t been circumcised.

  1. Skin

  2. Subcutaneous tissue

Medical terms

  • Lichen sclerosus (LIE-kun skluh-ROW-sus) is AN uncommon condition that makes uneven, white skin that seems agentier than traditional. It always affects the venereal and anal areas.
  • Anyone will get lichen sclerosus however biological time girls square measure at higher risk.
  • Your doctor will counsel treatment with creams or ointments that facilitate a lot of traditional look to your skin and reduce the tendency for scarring. The condition will tend to recur, thus semipermanent follow-up care could also be required. Rarely, lichen sclerosus improves while not treated.

Lichen sclerosus is a skin condition that causes white patches to form on the genital area of both men and women These patches can appear anywhere around the genitals or anus but they most often affect the inner thigh and groin areas The patches have a smooth white surface with well-defined borders making them easy to recognize As the condition progresses these white patches may become smaller in size and more scaly in appearance Sometimes these patches develop cracks through which redness and irritation can be seen.

symptoms Lichen sclerosus is a genital skin condition that affects both men and women It causes white patches to form on the genitals These patches which can appear on other areas of the body as well are usually painless but might cause itching or burning Lichen sclerosus also often causes sexual problems including irritation and difficulty achieving orgasm in women and erectile dysfunction in both sexes The severity of symptoms varies depending on the individual Some people with lichen sclerosus never experience any problems while others have lifelong issues with this condition Seek medical advice if your symptoms don't go away or get worse.

Symptoms Lichen sclerosus

Lichen sclerosus symptoms will vary from gentle to severe. If you have a light case of lichen sclerosus, you will not experience any symptoms. In women, symptoms sometimes have an effect on the fanny, arsehole and area (the space between the arsehole and also the vulva). The condition may also have an effect on skin on alternative body elements, like your neck, breasts, torso, upper back, wrists and mouth.

In uncircumcised men, lichen sclerosus causes the foreskin of the member to be irritated and fretful. The gap at the highest of your foreskin will become scarred and narrowed, resulting in painful erections.

People with mild lichen sclerosus may have no signs or symptoms.

Signs and symptoms usually affect the skin of the genital and anal areas, but may also affect the skin of the upper body, upper arms and breasts. They may include:

  • Redness

  • Itching (pruritus), which can be severe

  • Discomfort or pain

  • Smooth white patches on your skin

  • Blotchy, wrinkled patches

  • Tearing or bleeding

  • In severe cases, bleeding, blistering or ulcerated sores

  • Painful sex

When to see a doctor

See your doctor if you've got signs and symptoms common to lichen sclerosus.

If you've already been diagnosed with lichen sclerosus, see your doctor each six to twelve months to be checked for any skin changes or treatment side effects. 

Causes Lichen sclerosus

Healthcare suppliers aren’t certain what causes lichen sclerosus. consultants believe that lichen sclerosus behaves very similar to AN disease. reaction disorders cause the body’s system to attack healthy cells.

Genetics and secretion changes may confirm UN agency gets the disorder. In some cases, lichen sclerosus develops once somebody is intimate with trauma, like AN injury or sex crime. Lichen sclerosus isn't a sexually transmitted unwellness (STD), and it’s not contagious.

The reason behind lichen sclerosus is unknown. AN active system or AN imbalance of hormones could play a job. Previous skin harm at a specific website on your skin could increase the probability of lichen sclerosus at that location.

Lichen sclerosus is not contagious and can't unfold through sexual issues.

Lichen sclerosus typically happens in biological time ladies, however conjointly in men and youngsters. In women, lichen sclerosus sometimes involves the female genital organ. In boys and men, uncircumcised males square measure most in danger, as a result of the condition usually affects the foreskin.

In youngsters, the signs and symptoms could improve at times of life, however they're still going to still like observation for unwellness activity.

Risk factors Lichen sclerosus

The risk of lichen sclerosus is higher for biological time ladies, though it will occur in men and youngsters. Men IN regency square measure uncircumcised have the next risk as a result of the condition typically affects the foreskin.

Does lichen sclerosus go away?

Lichen sclerosus is a chronic skin condition that can take many years to go away It usually starts out as white patches on the skin and can look like either of two things: a scar which is what it looks like during its early stages or warts The good news is that most people with lichen sclerosus will not develop cancer (of any kind) because only about 3 percent actually do However you need to have your lesion checked by your physician regularly so they can make sure it’s not spreading into the surrounding tissue and always remember to use sunscreen if your affected area.

What can I buy over the counter for lichen sclerosus?

There is no cure for lichen sclerosus However it is possible to treat the symptoms and make the condition more manageable through topical treatments such as Lotions (Claritin Zyrtec Allegra) Creams or gels (Hydrocortisone).

What is the best cream for lichen sclerosus?

Lichen sclerosus is a skin condition that causes sores and rashes on the skin in areas around the genitals anus or other parts of the body There are several different treatments for lichen sclerosus available over-the-counter available from drug stores but there are also other prescription medications to treat this disorder People with lichen sclerosus use more than one treatment to manage their condition because they can't get rid of the lesions completely The medication most commonly prescribed by doctors include topical steroids oral corticosteroids and calcineurin inhibitors which must not be taken without first talking them.

How do you clean with lichen sclerosus?

Lichen sclerosus is a skin condition that usually affects the groin area in men It creates white patchy itchy areas of skin that often resemble an ashtray's worth of cigarette burns While treatment for lichen sclerosus can be challenging many people find success with several methods of hygiene and topical therapy.

Is lichen sclerosus a serious condition?

No there are no life-threatening side effects from lichen sclerosus It is a chronic skin condition that needs to be treated for the rest of your life but it does not worsen over time and does not lead to cancer Lichen sclerosus can cause some minor pain symptoms that limit movement of joints and sexual function but these problems resolve with treatment.

Complications Lichen sclerosus

Complications of lichen sclerosus embrace painful sex, retention, constipation Associate in Nursing an inability to retract the foreskin. folks with lichen sclerosus also are at Associate in Nursing enhanced risk of epithelial cell malignant neoplastic disease of the affected space.

Diagnosis Lichen sclerosus

Your care supplier can examine you and raise your symptoms. In some cases, your supplier might order a diagnostic assay. Throughout this procedure, your supplier takes a skin sample and sends it to a science lab for testing.

Your doctor might do physical communication and check on your skin appearance. they will order a diagnostic assay, too. which means they're going to take away atiny low piece of your skin and send it to a science lab to be viewed below a magnifier. This can ensure or rule out the diagnosis.

Your doctor may diagnose lichen sclerosus based on:

Your doctor may refer you to a specialist in skin conditions (dermatologist) or the female reproductive system.

Treatment Lichen sclerosus

You may be treated by a primary aid supplier, a skin aid supplier, or an aid supplier specializing within the generative organs.

Often, patches outside the sex organ and anal space could flee with time. Your aid supplier could value more highly to watch these areas before beginning treatment. Symptoms within the sex organ and anal space don’t usually retrieve while not treated.

Other possible treatments include:

  • Steroid injections. These are more likely to be used if steroid ointment doesn’t work well.

  • Tricyclic antidepressants at low doses. This may decrease vulvar pain.

  • Other medicines. These may be used if other treatments have failed. These medicines may include acitretin (except in women of childbearing age due to risk of severe birth defects) or tacrolimus.

  • Ultraviolet light treatment. This is done if other treatments fail.

  • For men, removing the foreskin (circumcision) is commonly a sure-fire treatment. In women, surgery is commonly not a most well-liked treatment. That is as a result of lichen sclerosus usually coming back.
    These treatments usually cut back most of the symptoms and keep the condition from getting worse. you may probably have to use drugs on a daily, long-run basis. If untreated, the condition tends to induce worse over time
    Treatment is completed to ease symptoms and keep the lichen sclerosus from getting worse. The treatment sometimes starts with steroid ointment. This reduces pain, itching, and inflammation. Once used usually, this helps manage symptoms for several of us.
    If you've got lichen sclerosus on or around your sex organ or arse, or have a lot of advanced cases on alternative components of your body, your doctor can suggest treatment. Treatment helps cut back itch, improve your skin's look and reduce more scarring. repetition is common. Rarely, lichen sclerosus gets higher on its own.


Corticosteroid ointments or creams square measure ordinarily prescribed for lichen sclerosus. Initially, you will typically have to be compelled to use corticosteroid creams or ointments on the affected skin doubly every day. Once many weeks, your doctor can possibly advocate that you simply solely use these medications doubly per week to forestall a repetition.

Your doctor can monitor you for facet effects related to prolonged use of topical corticosteroids, like any cutting of the skin.

Other treatment options

If adrenal cortical steroid treatment does not work or if months of adrenal cortical steroid medical care are required, your doctor might impose associate degree ointment like tacrolimus (Protopic).

Removal of the foreskin (circumcision) in men could be a common treatment in cases proof against alternative therapies or more-advanced cases. Surgery within the reproductive organ or anal space typically is not suggested for ladies with lichen sclerosus as a result of the condition may return when surgery.

Ask your doctor however usually you ought to come for follow-up exams. they're typically suggested each six to twelve months. 

  1. Skin grafting transplant

Lifestyle and home remedies

These self-care tips may help, whether you are undergoing treatment or not:

  • Apply lubricant (petroleum jelly, A and D ointment, Aquaphor) to the affected area.

  • Gently wash the affected area daily and pat dry. Avoid harsh soaps and bathing too much.

  • Ease burning and pain with oatmeal solutions, sitz baths, ice packs or cool compresses.

  • Take an oral antihistamine at bedtime to help control the itching as you try to sleep.

Preparing for your appointment

If you've got signs and symptoms common to lichen sclerosus, build a meeting together with your medical aid doctor. Your doctor could refer you to a specialist within the designation and treatment of skin conditions (dermatologist).

Here's some info to assist you make preparations for your appointment.

What you can do

Before your appointment make a list of:

  • Your symptoms and how long you've had them.

  • Your key medical information, such as other conditions with which you've been diagnosed and any prescription or over-the-counter medications you're using, including vitamins and supplements.

  • Questions to ask your doctor.

Some basic questions to ask your doctor about possible lichen sclerosus include:

  • What's the most likely cause of my symptoms?

  • What treatment approach do you recommend, if any?

  • If the first treatment doesn't work, what will you recommend next?

  • How much do you expect my symptoms will improve with treatment — and how soon?

  • Will I need treatment for this condition for the rest of my life?

  • What self-care steps can I follow to ease my symptoms?

  • What can I do to help prevent a recurrence?

What to expect from your doctor

Your doctor is likely to ask you a number of questions, such as:

  • How severe is your discomfort?

  • Have you noticed any bleeding?

  • Do your symptoms include pain with urination or bowel movements?

  • Do your symptoms include pain with sexual intercourse?

  • Have you had any previous injuries to the affected area?

  • What steps have you taken to treat this condition yourself?

  • Have you had prescription treatments for this condition?

  • Have you been diagnosed with any other medical conditions?

General summary

  1. Lichen sclerosus (LS) also referred to as balanitis xerotica obliterans is a chronic inflammatory condition of the glans penis and foreskin in men This autoimmune skin disorder usually affects people ages 20 to 70 but it can occur at any age No effective treatment for LS had been developed until 2009 when researchers reported using auto-antibody therapy in a phase II clinical trial Within just 10 weeks after receiving infusions of a patient’s own blood plasma containing antibodies found against the body's biomarkers all patients saw their symptoms decrease substantially Further studies with larger groups are planned.

  2. Lichen sclerosus is a condition that occurs when the immune system attacks skin cells (keratinocytes) in the area between the anus and genitals This area is called perianal skin and symptoms of lichen sclerosus include red skin with white spots itching burning pain and bleeding during bowel movements While it can appear anywhere on the body most people have it on their anus or around the opening to their vagina Several factors contribute to developing this condition: Your age – Most cases occur in children under 10 years old women during pregnancy and menopause or older adults over 60 years.

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