WHAT IS LICHEN SCLEROSIS? TREATMENT METHODS

Lichen sclerosis is a chronic, inflammatory skin disease that usually affects the skin and genital areas. It mostly affects women, but can also be seen in men and children. Although the exact cause of the disease is not known, autoimmune reactions, genetic predisposition and hormonal factors are considered to be possible factors. Patients usually come with persistent itching and discomfort in the genital area. These patients receive fungal treatment for years, but there is no improvement. The diagnosis is made with a biopsy. The skin first becomes thin and becomes like cigarette paper. The patient always feels discomfort and burning while walking and during sexual intercourse.

Symptoms

Skin Changes: The skin in the affected areas becomes thinner, whiter and takes on a shiny appearance.

Itching and Burning: Intense itching and burning are among the most common symptoms.

Pain: Pain and tenderness may occur, especially in the genital area.

Skin Cracking: Cracks and wounds may occur on the skin in the later stages of the disease.

Scarring: If left untreated, permanent scarring of the skin may occur.

Common Areas of Influence

Genital Areas: The vulva in women, and the penis and anus area in men are frequently affected.

In rare cases, similar lesions may appear in other parts of the body.

Diagnosis

Diagnosis is usually made by a dermatologist or gynecologist with a physical examination and, if necessary, a biopsy. Since 5% of cases may be squamous cell carcinoma, it is important to take biopsies at regular intervals.

Treatment

Although treatment for lichen sclerosus is not a cure, it is possible to control symptoms and stop progression. Treatment options include:

Topical corticosteroids: The most commonly used treatment. They reduce itching and inflammation.

Moisturizers: Reduce discomfort by keeping skin moist.

Immunosuppressive Creams: Used in special cases.

Surgical Intervention: Removal of scar tissue may be necessary.

Laser and PRP applications provide symptomatic improvement in these patients.

Psychological Support: Due to the long-term effects of the disease, psychological support may be beneficial.

Lichen sclerosus can be controlled with early diagnosis and appropriate treatment. If you have persistent burning and itching in your genital area, you may have lichen sclerosus. You should definitely see a gynecologist or dermatologist.