Varicose Veins TreatmentDespite being relatively unknown, lichen sclerosus is a chronic autoimmune condition that can have a profound impact on the quality of life for those who experience it. Characterized by intense itching, pain, and changes in the skin's appearance, lichen sclerosus can be both physically and emotionally distressing.

At Colorado Longevity, our highly trained staff is dedicated to providing you with skin treatment options tailored to your specific condition with a patient-centered approach.

Here is everything you need to know about lichen sclerosis.

What Is Lichen Sclerosus?

Lichen sclerosus, also known as lichen sclerosus or LS, is a chronic inflammatory skin disorder that predominantly affects the genital and anal areas, but can also occur on other parts of the body. This condition primarily affects women, although it can occur in men and children as well. Lichen sclerosus is characterized by thinning, whitening, and tightening of the skin, leading to discomfort, itching, pain, and even blistering or bleeding in severe cases.

Left untreated, lichen sclerosus can lead to scarring and permanent damage to the affected areas. While there is no known cure for lichen sclerosus, various treatment options are available to manage symptoms and prevent complications. Regular monitoring and follow-up with a dermatologist or gynecologist is essential for individuals with lichen sclerosus to ensure proper management and early detection of any potential complications.

By raising awareness about lichen sclerosus, we aim to empower individuals affected by this condition with knowledge and support, promoting better understanding, and facilitating access to appropriate care and treatment.

What Are The Symptoms?

Lichen sclerosus is a skin condition characterized by various symptoms, primarily affecting the genital area. The most common symptoms of lichen sclerosus include:

  1. Itching: Intense and persistent itching is a hallmark symptom of lichen sclerosus. The itching can be severe and may worsen at night.
  2. Discomfort or pain: Many individuals with lichen sclerosus experience discomfort or pain in the affected areas. This can include pain during sexual intercourse, urination, or bowel movements.
  3. Skin changes: Lichen sclerosus can cause changes in the appearance of the skin. Affected areas may become pale, smooth, and shiny. The skin may also appear thin, wrinkled, or have a crinkled appearance.
  4. Blotchy patches: Discolored, blotchy patches of skin are common with lichen sclerosus. These patches may be white, gray, or pinkish in color.
  5. Scarring: In advanced cases, lichen sclerosus can lead to scarring and tightening of the skin, which can cause difficulty with movement and potential complications.

How Do You Get Lichen Sclerosus?

The exact cause of lichen sclerosus is still unknown, but it is believed to be an autoimmune disorder, where the body's immune system mistakenly attacks healthy cells and tissues. Hormonal imbalances, genetics, and certain environmental factors may also contribute to its development. While lichen sclerosus can affect individuals of any age, it is most commonly seen in postmenopausal women and children.

Hormonal changes during menopause, such as decreased estrogen levels, may play a role in triggering or exacerbating the condition. Genetic factors may also contribute, as lichen sclerosus has been found to run in families. Additionally, certain environmental factors, such as chronic irritation or trauma to the affected areas, infections, and other inflammatory diseases, may increase the risk of developing lichen sclerosis.

However, more research is needed to fully understand the exact causes and risk factors associated with this condition.

How Is It Treated?

While there is no known cure for lichen sclerosus, various treatment options are available to manage the symptoms and prevent complications. The primary goal of treatment is to alleviate discomfort, reduce inflammation, and maintain the affected skin's health.

Topical corticosteroid creams or ointments are commonly prescribed to help reduce inflammation and relieve itching. These medications work by suppressing the immune response in the affected area. Regular and consistent application of these creams is essential for optimal results. In some cases, if the symptoms persist or do not respond well to topical treatments, stronger corticosteroids or other immunosuppressive creams may be prescribed.

Additionally, non-steroidal creams containing calcineurin inhibitors may be recommended as an alternative treatment option. These creams help to modulate the immune response and reduce inflammation. It is crucial to follow the prescribed treatment plan and attend regular follow-up appointments with a healthcare professional to monitor progress and adjust treatment as necessary.

How Do You Get Lichen Sclerosus?

The exact cause of lichen sclerosus is still unknown, but it is believed to be an autoimmune disorder, where the body's immune system mistakenly attacks healthy cells and tissues. Hormonal imbalances, genetics, and certain environmental factors may also contribute to its development. While lichen sclerosus can affect individuals of any age, it is most commonly seen in postmenopausal women and children.

Hormonal changes during menopause, such as decreased estrogen levels, may play a role in triggering or exacerbating the condition. Genetic factors may also contribute, as lichen sclerosus has been found to run in families. Additionally, certain environmental factors, such as chronic irritation or trauma to the affected areas, infections, and other inflammatory diseases, may increase the risk of developing lichen sclerosus.

However, more research is needed to fully understand the exact causes and risk factors associated with this condition.

How Is It Treated?

While there is no known cure for lichen sclerosus, various treatment options are available to manage the symptoms and prevent complications. The primary goal of treatment is to alleviate discomfort, reduce inflammation, and maintain the affected skin's health.

Topical corticosteroid creams or ointments are commonly prescribed to help reduce inflammation and relieve itching. These medications work by suppressing the immune response in the affected area. Regular and consistent application of these creams is essential for optimal results. In some cases, if the symptoms persist or do not respond well to topical treatments, stronger corticosteroids or other immunosuppressive creams may be prescribed.

Additionally, non-steroidal creams containing calcineurin inhibitors may be recommended as an alternative treatment option. These creams help to modulate the immune response and reduce inflammation. It is crucial to follow the prescribed treatment plan and attend regular follow-up appointments with a healthcare professional to monitor progress and adjust treatment as necessary. In addition to medication, practicing good hygiene, wearing loose-fitting clothing, and using gentle, fragrance-free cleansers and moisturizers can help manage symptoms and maintain the health of the affected skin. It is important to discuss treatment options with a healthcare professional who specializes in dermatology or gynecology to determine the most appropriate approach for each individual case.

How Is Lichen Sclerosus Diagnosed?

Diagnosing lichen sclerosus typically involves a combination of clinical examination, medical history review, and sometimes additional tests. During a physical examination, a healthcare professional will closely examine the affected areas, which are commonly the genital region in women and men.

They will look for characteristic symptoms such as white patches, thinning of the skin, and other tell-tale signs. In some cases, a skin biopsy may be recommended to confirm the diagnosis. This procedure involves removing a small sample of affected skin for laboratory analysis. The biopsy helps rule out other skin conditions and provides a definitive diagnosis of lichen sclerosus. Additionally, if there is any suspicion of cancerous changes or to monitor the condition more closely, periodic follow-up visits and regular examinations may be advised.

It's important to consult with a healthcare professional, preferably a dermatologist or gynecologist, who has expertise in diagnosing and treating lichen sclerosus, to ensure an accurate diagnosis and appropriate management plan.

If you are struggling with Lichen Sclerosus, or are in need of a skin evaluation, contact our highly-skilled team at Colorado Longevity, or schedule an appointment directly from our website today.