Lichen sclerosus

Diagnosis

Lichen sclerosus diagnosis often involves a healthcare provider examining the affected skin, with a biopsy sometimes necessary to exclude the possibility of cancer or if the skin does not improve with steroid cream treatment. This process entails removing a small section of the affected tissue for microscopic evaluation. Depending on the specific symptoms and areas affected, you may also be referred to specialists such as dermatologists (skin conditions), gynecologists (female reproductive system), urologists, and pain medicine experts for further management and treatment.

Treatment

Lichen sclerosus is a condition that, with appropriate treatment, can see a significant improvement or even resolution of symptoms. The treatment strategy is tailored to the severity of symptoms and the affected area on the body, aiming to alleviate itching, enhance the appearance of the skin, and reduce the risk of scarring. However, it’s important to note that even after successful treatment, symptoms may recur.

Medicated ointments:

• Clobe tasol ointment: This potent steroid ointment is frequently prescribed for lichen sclerosus. Initially, the treatment involves applying the ointment to the affected area twice daily. Over time, and upon improvement, the frequency is reduced to twice a week to keep symptoms at bay.
• Monitoring and side effects: Regular follow-ups with your healthcare provider are essential to monitor for side effects, especially with prolonged use of topical corticosteroids, which may include skin thinning.
• Calcineurin inhibitors: For additional treatment, healthcare providers may recommend a calcineurin inhibitor, such as tacrolimus ointment (Protopic), to further manage symptoms.

Follow-up and long-term management

Regular check-ups, likely once or twice a year, are crucial for monitoring the condition’s progress, managing itching and irritation, and preventing serious complications. Long-term treatment may be necessary to maintain control over the condition.

Surgical intervention:

In cases where lichen sclerosus has narrowed the urinary opening, circumcision may be recommended by your healthcare provider as a treatment option to address this specific issue.