Lichen Sclerosus – Why it is not to be ignored?

Lichen Sclerosus is a chronic inflammatory skin condition which usually affects the genitalia causing itching, irritation, pain and scarring. Appearing in both men and women, it can be a life affecting condition, which distresses sufferers as it can cause both itching around the genitals, and also manifests as white patches in the area.

Lichen Sclerosus – Why it is not to be ignored?

27th February 2025 by content admin0
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Lichen Sclerosus is a chronic inflammatory condition that typically affects the genital region. Although it is more common in postmenopausal women but can affect any age group.

What are the symptoms?

Lichen Sclerosus in women presents with:

  • Redness
  • Itching that can be severe
  • Pain
  • Porcelain white plaques and papules resembling “Cigarette Paper”
  • Ulcerations or fissures and bleeding
  • Painful intercourse

If left undiagnosed,

  • Fusion of vulval lips
  • Clitoris burying
  • Disruption of vulval opening.
  • Scarring of the vulval area leading to difficulties with urination and defaecation.
  • May lead to cancer.

How to diagnose Lichen Sclerosus?

The exact diagnosis is made through vulvoscopy (telescopic examination of the vulva with a vinegar solution) and biopsy of the abnormal areas. The histopathological examination would confirm the diagnosis. This is also to exclude serious cancer or pre-cancer of the vulva.

What are the treatment options?

The goal of the treatment for lichen sclerosus is to reduce pain and itchiness thereby preventing further skin damage. Most commonly this condition is treated with topical steroids ointments, which have been shown to prevent malignant transformation.

PRP injections in Lichen Sclerosus

Platelet-rich plasma (PRP) treatment offers promising relief for those suffering from lichen sclerosus for the women who do not respond to steroid treatment or are simply fed up with this treatment.

  • PRP involves extracting a small amount of the patient’s own blood and spinning it in a centrifuge to separate platelets and growth factors.
  • The resulting platelet-rich plasma is then injected into the affected area, stimulating healing and rejuvenation.
  • This treatment has shown success in reducing itching, pain, and inflammation associated with lichen sclerosus.
  • PRP therapy also promotes tissue regeneration, improving the appearance of scarring caused by the condition.

While PRP can provide significant relief for individuals with lichen sclerosus, it is important to note that results may vary.

When to see us?

If you have the above symptoms and worried that you may have this condition, it’s crucial to consult a healthcare professional experienced in this condition and treatment to discuss.

Please contact Rockingham Women’s Health Centre on 0895918943 to book an appointment or www.rockinghamwomenshealth.com.au


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