Diagnosed w/LS ~5 years ago; new GYN wants to do biopsy...questions!

Posted , 12 users are following.

Hi all,

I was so glad to find this group a couple weeks ago! I got diagnosed with Lichen Sclerosus by the gynecologist I had been seeing for about the last 8 years. This year, I was required by my insurance to see a new GYN, and when I saw him yesterday, he said he's not sure it's LS and he wants to do a biopsy. Annnnnd I'm kind of freaking out about the biopsy. Lidocaine burns like a mo-fo and when things down below are already uncomfortable, it's hard to get on board with the thought of more discomfort let alone pain. Can anyone talk me off the ceiling on that one? Tell me about your experience? I've got menopausal changes going on as well; all in all my anatomy feels completely unfamiliar any more. I have not had issues with itching, but rather burning and dryness (despite use of estrogen cream)...which I think is what's largely behind the new doctor thinking it isn't LS. I've got vulvar pallor and a couple/few red spots (small blemish sized). This whole situation is very upsetting. sad

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  • Posted

    Hi Corgis. Sorry you’re going through this. 

    If you were diagnosed already I’m wondering why he wants a biopsy. I chose not to have one, you can ok at my fairly recent  post for details. I’d want to look at how first dr diagnosed (white patches?, figure 8 pattern?, etc) and does new dr suspect something else?, worried about pre-cancer?, why? - if you are confident in original diagnosis then you get to decide. 

    Many others disagree but we know our bodies best and what is right for ourselves. 

    I agree that being flared up is a horrible time for biopsy unless absolutely necessary.  

    The other thing is are you using steroid cream? It can interfere with biopsy results. 

    Best to you!!!

  • Posted

    I had a biopsy done by a dermatologist office. My primary physician thought I was just extremely dry, had me on pills for herpes. Then I thought all my perineum cuts were from sex from being too dry and also this horrible thick uniform I have to wear. No where along the way was I told my architecture was changed. And I am late fifties, I don't lay around witha mirror on my crotch. I started looking up symptoms and got very upset that I probably had been mis diagnosed. I went back to my primary and was seen by someone else in that practice. I told her I have cuts that wont heal and I suspect LS. She said she didn't think so but that the labia and perineum looked atrophied and injured. So she sent me to the dermatologist. The biopsy was a painful procedure and they took 2 plugs. Took forever to heal because she took it from the injured area. Her helper kept whinsing while looking at my neither region. The doctor kept commenting that my parts look like a child. How un professional. I began crying uncontrollably.

    On the follow up I was sitting in the same waiting room and noticed all the gorgeous woman obviously there to get their botox updated. And when I was brought to the examination room it didn't include the bed with stirrups. They expected me to open wide sitting in a chair while the doctor practically laid on the floor. I have never been so embarrassed in my life. She prescribed Clobetisol and Premarin cream. The cuts healed but I am damaged down there. I cant recognize myself. I used to be very sexy and now I want to hide this part of my body.

    I found this forum and have done my own research. I'm never going back to a botox doctor ever again. I want to find a good Gynecologist that specializes in this who can actually help me.

    • Posted

      I’m so sorry that you went through this. That dr. Sounds horrible! I hope you can find a Dr. That can gelp, can be professional and you can get some relief! What County are you in? I am in USA.
    • Posted

      Hi Karen, I am in eastern United States. My next mission is to call around to see if anyone specializes in my conditions .
    • Posted

      Eastern US, if you can get to Washington DC, you are near the best specialist- Dr Goldstein! That man knows all there is about LS and makes those videos. He has a clinic devoted to helping those with vag issues. 

      Good Luck! 

    • Posted

      Hi Karen, is that Andrew Goldstein?  How did he help you? Did he shed new light on the situation?
    • Posted

      I read several articles by Dr Goldstein and watched his webinar. Very informative. I have never met him, but if I was on the East Coast I would seek him out! 
    • Posted

      Hi Karen,  Goldstein had some great information and a video.  He has offices in Washington, DC and New York.  New York is closer for me so I may go there, and hopefully the docs there are as knowledgeable as he is.  I just don't know how progressive in their thinking they are as we all are on this site.  All they really do is offer surgery and Clobestol, so therein lies my hesitation.  

  • Posted

    I had a biopsy, it was done right there in the MDs office, took only a few minutes and it didn't hurt. Maybe I was just lucky - I wish I was lucky enough not to have this awful disease in the first place. Good luck to you. 

  • Posted

    Hey Corgis, ok so .... sad to hear you’re going threw this but this group is what keeps me going as a normal woman.... so good for you you found us!!!!! Biopsy is no big deal. Went threw it 5 years ago and going in 2 months for another one. The needle is al you feel. Then when it unfreezes... bahhh... a bit of discomfort but it’s for a good cause so that goes well it’s not that bad. We need to know if we want to be treated for the right thing. I’m going for a second biopsy 5 year later because I have a white patche that doesn’t look like the rest of palor of skin. I also have darker pigments around labia minora and clitoris. Now I’m 45 and premenopause ... getting alot of weird symptoms that are maybe related to menopause or maybe to LS so doctors need to know to give good treatments. Important to follow all the recommandation and also hydrat you’re private properly... always. I use coconut oil and it’s keeping me in a good spot ( I think) all the rest is also, I insist, about keeping your head clear. It can have a psychological affect to have LS so that’s also where we get involved. Do not hesitate to refer to your new gal pals if you’re feeling low cause with LS the mood is crucial. Stay positive you’re not alone and all will go well.... you’ll see... hugs 🤗 

  • Posted

    Dear Corgis- So sorry to hear you had that experience. I am 2 months diagnosed and everything is under control now. I had biopsies done on six suspicious spots and all 6 came back LS. The procedure itself does not hurt, but you’ll need an ice pack and Tylenol that evening and it will hurt to pee for a few days. I used Medline moisture Barrier with Vit, A, D, E to protect after every pee and then Emuaid and all was well within 10 days. 

    Interesting bit of news- the Dr I saw for biospy results told me that the biopsy might actually have helped clear the flare I was having since my body sent white blood cells there to heal the biopsy sites!? Not sure if it’s true, but flared March, April, May, had biopsies in June and by mid- June all was calmed down and healing well. 

    Good luck to you! 

  • Posted

    Hi Corgis,  I too freaked out about the biopsy and waited almost 2 years to do one because I was so scared, but confirmation was needed that it was LS and not cancer as I was told by one doctor I had.  I had a nurse friend sit with me and hold my hand throughout the procedure and the female gyn was great and patient.  She used the lidocaine and several shots of novicane before she did the biopsy and felt nothing. It was the thought of what she was doing that was painful thinking about.  After it was uncomfortable and I had to soak in the tub for a few days but was fine after that.  I only did the biopsy to rule out cancer.  Every doctor has their own way of doing this procedure.  Some woman have had painful experiences.  I wa lucky that the gyn loaded me up o novicain and it would be a good idea to take a valium or xanax before you get to the office.  It helps!

    Good luck and keep in touch.  We are all here for you!

  • Posted

    So sorry for you. I was diagnosed 10 days ago after 5 months of Hell being treated for dry vagina instead.

    Prescribed cream but has not helped so far. Have not been able to drive or sit properlyl for all this time and because of sitting on my right buttock to ease the discomfort I have.now had to have steroid i njections in my.hip.

    I am 74 and feel my life is over

    • Posted

      Hilary- Yoyr life is not over, it is just different now. 

      It has been two months since my diagnosis with six biopsies. Since then I hv changed my diet ( no sugar, low carbs, no wheat, low oxalate), reduced my stress, wear mostly skirts and dresses, 100% cotton underwear, balanced my supplement intake ( per Nancy KB list) and I used Emuaid Maxx for first 10 days, then switched to Emuaid regular. All pain and itch were gone in first 5-7 days, ulcerated raw areas were completely healed within 14 days and ai hv not had a flare- up since. 

      I stay moisturized after every pee break with either emuaid or coconut oil, I wash in the shower with Emuaid therapeutic bar, and I pay attention to what I eat- if I feel the slightest “ tingle”, not itch, I cross that food off my list. I know others hv had good luck with aloe vera gel mixed with tumeric oil. See other LS posted forum discussions. 

      Life does go on and is bearable, you just need to find some relief first so you can think clearly. 

      We are here for you! You are NOT alone! Keep your chin up! ❤️

    • Posted

      Hi Karen,  So glad things are going well for you.  Why was it necessary to change from Emuaid Maxx to regular?  I have been using Emuaid Max, but it now is not working for me.  My diet may have affected this.  I have to get strictor. Have you used Clobestol at all?  
    • Posted

      Hi Susan. I switched from Emuaid Maxx to Emuaid regular because the Maxx has 10x the tea tree oil as the regular so the smell was much stronger and the formula  was stronger than I felt that I needed. I did not get a prescription for  Clob until July 20 and did not want to use it unless I absolutely had to. I have no pain and no itch, so I held off. One day my clit started throbbing a bit and my Right labia was disintegrating rapidly. I had white on the inner labia, so I did try a little clob mixed with Emuaid and then the next couple days clob alone. The throbbing is gone, still no pain or itch and I am going to use a little bit of Clob at night on white spots until they are gone. We’ll see what Dr says on August 17. 
    • Posted

      Thanks for your comment that life isn't over, its just different now. I hate this disease and find it difficult to concentrate on other things, so I try to remember what you posted. I'm glad it works for you and I hope if I keep at it, it will work for me too. 

    • Posted

      Hi Karen , do you live  in USA ? If so how  much do you pay for emuaid  ointment?  . I’m in uk and it’s about £50 plus £20 shipping. That seems a lot to me ( not that it’s not worth every penny ) . It’s a 2oz jar . How long will it last using everyday ? Not sure if I can afford that every week 😒

    • Posted

      Hi Karen,  what is the difference between Emuaid Maxx and regular?  I only bought the Maxx.  Should I not be using it all the time?  I'm glad you are under control. 

    • Posted

      The Emuaid regular  us $48, the aemuaid Maxx is $58 fir a 2 oz. jar. I order on Amazon with Prime shipping so that is free. You can also order directly from Emuaid .com and they will send tou coupons for free shipping and $10 off- specials all the time. Amazon also has a 16 oz. jar of Emaid regular for $289, so I was waiting for my next paycheck to order that. 
    • Posted

      Emuaid Maxx is much stronger and has 10x the amt of tea tree oil in it. So the smell is stronger and the formula is stronger. I used it for first 10 days of flare when things were really bad, then switched to regular Emuaid. 
    • Posted

      Thanks Karen.  The scent is rather strong, I uses it sparingly though.

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