Advanced Gynecology | Hormone Pellet, Laser, PRP Therapy
Regenerative and Sexual Medicine,
Morpheus8 Face and Body Remodeling
Women and Men
OBGYN Covington, LA
Lichen Sclerosus
Dr. Stefanie A. Schultis
New Treatments for Lichen Sclerosus
OBGYN Covington, LA
Understanding Lichen Sclerosus (LS)
What is Lichen Sclerosus?
LS is a chronic inflammatory condition affecting the vulva. It is not contagious, not caused by poor hygiene, and not an infection. The exact cause remains unknown. Many experts believe LS likely has an autoimmune component, meaning the immune system may contribute to inflammation in vulvar tissue. Genetic and local tissue factors may also play a role. Over time, inflammation can make tissue thinner, more fragile, and gradually change normal anatomy if untreated.
Who Gets LS?
LS can occur at any age. Although commonly described in postmenopausal women and young girls, many women develop symptoms during reproductive years. In everyday gynecologic practice, LS is frequently seen in younger women and may be very distressing. Diagnosis is often delayed because symptoms can mimic yeast infections, irritation, eczema, dryness, or hormonal changes.
Common Symptoms
Mild cases of lichen sclerosus are usually asymptomatic, but moderate to severe cases may have any of the following signs and symptoms:
Itching
Burning
Smooth and sensitive white spots
Easy tearing or bruising
Pain or discomfort
Wrinkled or blotchy patches
Painful intercourse
Blistering, bleeding or ulcerated lesions in more severe cases
Discomfort with Exercise
Fissures
Tissue Changes
Some women notice changes in appearance before symtoms.
" I can't stand the itching and
burning. Somedays, I can't even sit down."
Until recently, the treatments included
steroids, topical creams and hormones.
Today, there are more options to relieve symptoms and promote healing of this uncommon, chronic condition.
How is it diagnosed?
Diagnosis begins with symptoms and examination. Experienced clinicians often recognize LS from typical findings. Sometimes biopsy is recommended. Biopsy does not necessarily mean cancer is suspected.
Why treatment matters.
Untreated inflammation can contribute to scarring, narrowing, discomfort, and changes in vulvar architecture. Early treatment aims to preserve tissue health.
Dr. Stefanie A. Schultis OBGYN in Covington offers two new technologies that are resulting in encouraging results. Both of these treatments are non-surgical and performed in the office. Dr. Schultis will discuss these options in depth with you so you may be confident in the decision you make. Many patients who have been severely affected by this condition are very excited to attempt something new.
Treatment and Long-Term Management
Standard Treatment
High-potency topical steroids such as clobetasol remain first-line treatment. Long-term maintenance treatment is common and does not mean treatment failure.
Menopause, Atrophy and LS
Postmenopausal women frequently have vulvovaginal atrophy and LS at the same time. Treatment may include vaginal estrogen, moisturizers, PRP, and laser therapy in selected women. Addressing both issues often provides better results.
Newer and Regenerative Options
PRP uses concentrated platelets from your own blood and may support healing and tissue repair. Fractional erbium laser therapy creates controlled microscopic treatment zones to stimulate tissue remodeling and healing responses. Laser therapy is generally used as an adjunct rather than replacement for standard treatment.
Not Every Symptom is LS
Women with LS can still develop yeast infections and other vulvar conditions. If symptoms worsen or fail to improve, return for examination rather than assuming LS alone is responsible.
Long-term Health
Women with LS have a small increased lifetime risk of vulvar cancer, but most women never develop cancer. Regular treatment and follow-up appear to reduce risk.
