Are only areas that are white, itchy, etc. "active"? Or is it the vulva as a whole?

wow, that was not very coherent of me. Lol. Was trying to ask, if you are treating specific areas, do you need to be concerned about fusing/atrophy in areas where there are no signs/symptoms of LS? Or is it something that can happen even in the areas with no clinical signs or symptoms?

Fusing can occur even when the area does not appear to have any visible signs (white patches) and so I think that fusing is possibly the most insidious, distressing symptom of Lichen Schlerosus.  

I have some fusion, although not much, but it occurred last year, due to my lack of knowledge and care at the time, everything looked fine, and I felt fine, and therefore one has to be on their mettle always.  I never forget to spray, dry, and lubricate after using the bathroom, and more so before retiring in the evening!!  

I haven't had any obvious symptoms in the area forward of my perineum since I had the abscess over my clitoris two years ago. But I always apply the ointment over the whole front anyway. I think the skin over my clitoris has become better quality, more supple over time and I can 'feel' through it now. If the skin along the folds between the labia gets raw, there can be a series of little fissures making the whole area 'sticky' and prone to fusing together. I had that at the same time as the abess.

Another confusing thing about where to apply came up after my gynae said something about the area at the back. For a whole six months between checkups I was applying a few inches up the butt crack. Then at the next appointment she pointed out the small wrinkly area close to the anus – that the skin was still a bit whitish. That completely changed where I was applying it! My recent experience breaking a fold in my fourchette also shows how vigilant we have to be. I must have had a pretty big tear after sex and when it healed, it pulled the skin together at a small point, easily parted last week and healing open nicely now.

The main thing is look with that magnifying shaving mirror every night. I do and I still missed that fold!

Sparker:

I have the same questions.  I have the itchy and use the ointment to calm the area.  I did not realize that LS was so dangerous, I figured once under control that was it and maybe it was like a yeast infection, may come and go. Now I am reading here that it is more serious and I really should follow up on it as the Dr. told me to do due because of  futher complications, which he did not mention.

Sparker:

I have the same questions.  I have the itchy and use the ointment to calm the area.  I did not realize that LS was so dangerous, I figured once under control that was it and maybe it was like a yeast infection, may come and go. Now I am reading here that it is more serious and I really should follow up on it as the Dr. told me to do, because of  futher complications, which he did not mention.

I have been using dermovate for two weeks now and the itching has stopped but still same areas of whiteness, a few areas that had got sore have returned to normal colour but the rest is the same. Does it take a long time to get back to normal or will it always be like this? Also does anyone have the problem with where there pants/knicker elastic sits on the leg? i find this area very sore but cant see how to stop it rubbing that area when im at work. at home i go pantless!

Thanks in advance!