lichen sclerosis
Posted , 35 users are following.
I think alot of people have an itch in the genital area and presume it is a sexual transmitted disease. I am over 60 and became aware of this itch which of course I itched which I now know makes it worse. I did go to the doctor and he suggested dryness due to age and end of menopause and suggested vaginal lubrications which helped but didn t totally stop itch. You do start to feel desperate. After about 6 mths my smear was due and the nurse suggested I had a white area in my genital area and suggested I get it checked at clinic. In desperation I went to a private gynaecologist who immediately suggested it looked like lichen sclerosis which I had never heard of. I then went armed with a letter from this private gynaecologist to my doctor who immediately arranged for me to see an NHS gynaecologist. He took biopsy which resulted in me being advised I had LS. I was given dermovate to use for four weeks morning and night and then hydrocortisone for six months once a day. After 3 months I have a second appt to check area. I think the main thing is you must not scratch the area and I found using this cream there was no need. But I do think GP s dont know much about this problem and a lot of women are suffering undiagnosed.
2 likes, 215 replies
Pollyanne
Posted
kate207
Posted
I'm new to this site, but was diagnosed with LS three years ago, following a very rough year of misdiagnosis. i was told I had variously thrush, post-menopausal dryness and vaginal herpes - you can imagine just how much my husband of 30 years loved that one! I found dermovate helped my condition greatly, but after 12 weeks my skin changed totally down there, and on the advice of my consultant I weaned myself over to 1% Hydrocortisone bought over the counter. I stayed very sore, although the cuts and ulcers healed, but a wonderful dermatologist I saw privately told me that damaged LS skin is very sensitive to even a mild thrush overgrowth, so treated me for that as well, and told me to keep on top of thrush at all times. I feel about 90% ok at the moment, so there is hope out there. I'm currently weaning myself onto Hydrocortisone every second day, and so far so good. I can wear soft trousers, and loose jeans. One tip is to inspect the seams of any jeans or trousers you buy, and sew down any seams that stick up, it makes a huge difference.
I'm wondering has anybody any advice about stinging where a labia was absorbed? All my life I used to ride horses, but this area is still painful, and I can't bear any contact with a saddle for more than a few minutes. While Im ok for day-today life I really miss my sport, and have lost a huge are of my life and many friends through this disease.
LS_sufferer
Posted
Sorry, I don't mean to sound patronizing...but Welcome to the club. I can relate to your feelings toward your sport, I was always a keen motorcyclist & bicycle rider & they are all but impossible for me now too.
Always having being a "Tom-boy" I've lived in jeans, trousers, shorts etc. & due to my job I have to wear company issue trousers' so some times (Like today) it's so un-comfortable when I'm suffering.
I have been very fortunate that I've only ever suffered with thrush twice in my adult life & it was horrid, Like you, my inner labia has also gone completely & today I feel generally miserable, it's also my girlie week so that's not helping either. I'm now at the point where I don't think I will be able to use tampons much longer & that fills me with total dread. I actually feel like I'm being turned inside out today, don't know if anyone else get's that sort of feeling??.
But all my "belongings" have changed in such a short space of time, I'm still waiting to see a specialist so will be glad when that's over with really. Reading other post's I think it's certainly oestrogen related, because the majority of us are peri- menopausal - menopausal age groups. I know there are some ladies on here that are much much younger & for them it must be so soul destroying, I know how I have felt being in my mid 40's.
Well hopefully, other ladies will help with the questions & answer's on the other forum on this site & maybe we might be able to talk to our own specialist's with what ever info we can muster up ourselves.
Wishing you all a good weekend Girl's, relax, enjoy & have fun Best Wishes T xx
Roselee
Posted
As a newbie can I just ask. Do you get a flare ups every couple of months and use Dermovate as and when or do you use Dermovate all the time to try and prevent. I am in sheer panic mode today as I am not sure what I should be doing. My next appointment with the gyny is not until October. Scared of what is to come. Rosey
Pollyanne
Posted
Roselee
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kate207
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Just want to say that while Vagifem worked very well for me for vaginal dryness the increased moisture caused a slight discharge which actually irritated the LS on my vulval skin. if you find that your LS becomes more uncomfortable just be aware that it might be the vagifem. my gyn has told me to stop using it for the moment. Nothing is straightforward with this stupid disease.
Just a few points of information re LS, auto-immune disease and thyroid problems. I suffered from an underactive thyroid for about 15 years before the LS started. I was stable on the same dose of thyroid medication for all this time, however, within a year of my last period both my thyroid levels dropped so much that I'm now on twice the former dose of eltroxin and the LS started. This can't be a coincidence. the nurse in my GP's office was telling me that she's just back from a major conference where they discussed the importance of hormones to women, and how menopause has a much more profound effect than was previously realised, affecting the whole system.
Itchy_person
Posted
I've not been on lately, but having a flare-up again prompted me to log in and I'm very interested about the last few posts linking this to maybe being hormone related. I'm in peri-menopause and probably have been since this started a few years ago. This last week has been my worst so far for hot flushes and therefore not a co-incidence that my LS has flared up?
Pollyanne - can I ask, do you think taking hrt maybe prevented this for a while and it started when you came off it and did you still get flushes when you came off?
I am as usual during a flare-up using the dermovate twice a day and I find using the shower down there tuned to cold helps to take away the discomfort a bit. I've not found the emu oil to be of much help. I use dermol lotion (on prescription) to wash and moisturise with, I can't use any soap or shower gels.
Healing thoughts to all. xx
Roselee
Posted
I have not had a thyroid test, I think the menopause has a lot to do with it but I also wonder if it could be related to Stress. I had a really stressful period in the few months before mine started
Pollyanne
Posted
Bry the way I said I was on Betnovate, I don't know why as I am actually on Dermovate. I am finding that two weeks after my diagnosis I am not thinking about it every waking minute, beginning to accept it, what else can you do?
LS_sufferer
Posted
Just catching up on the post's, & again I find it all so interesting, especially as people are a little more forthcoming with a few answers to some of the questions asked by Margaret. It's does seem very coincidental that so many ladies are suffering with stress, anxiety or depression (anxiety in my case) & that hormone levels seems to playing a large factor for all of us too.
I had my period last week & was on fire !! all week, itching, burning, Aaaargh!! just horrid, my period has finished for this month (Phew....relief) & everything has completely settled down again literally overnight, the symptoms have gone as quick as they appeared. My hot flushes have also really started "kicking in" now & I'm pretty sure they made things worse last week.
Just finding it all very interesting, now we are piecing a bit more info together, keep up the good work ladies, best wishes T xx
kate207
Posted
I suffer from depression at the moment, but I think its caused by the LS rather than causing it. A lot of us are at the same stage in life, menopausal or peri-menopausal, we have less energy but are still working, caring for our own houses and families, and in my case anyway, increasingly responsible for elderly parents. I'm exhausted, so its not surprising that when you add in LS to the mix that depression is the result.
my dermatologist says that LS is like excema or psoriasis in that once you've got it stress can cause flare ups. She suggested that as well as the locally applied steroid and moisturizing creams I should approach it holistically, with mindfulness meditation daily and some form of outdoor exercise. She also said to avoid too much alcohol, spicy food (bad if you have LS round the anus) and late nights. The simple life, in fact!
I do think its worth shopping round till you get a sympathetic expert. I saw two gynacologists, one public health care and one private, who both diagnosed LS and sent me off with my tube of dermovate but very little information, including how much cream to actually apply. The dermatologist was so different and so concerned. It was she who suggested that I gradually switch to the Hydrocortisone, as she was afraid the dermovate was causing skin thinning, and who sorted the thrush problem which the others hadn't remarked on - I thought the pain was all from the LS itself. She also referred me to an oncologist who specialises in gynecology, as she was worried by the inflamed look of certain areas. Now I see her and the oncologist once a year each - its expensive but for the first time I feel more informed and that I'm in the hands of people who are concerned and competent.
I live in Ireland, but from what I've been reading on these forums I don't think the situation in England is much different. I'm in another support group on Yahoo, but most of the people there are American. Their experiences with so-called experts seem to be the same though, it seems to be a bit luck-of -the draw whether you get a sympathetic and informed gyn.
Itchy_person
Posted
Yes, I do think stress is all part of it - I had been going through a stressful time when I first got symptoms and I've been really busy at work lately so maybe the flare-up kicked off because of that. Although, it has to be hormone related also with me missing a period and having bad hot flushes in the same week as the flare-up - doesn't feel so bad today and funnily enough the flushing has calmed down too, probably indicating a change in my hormone levels.
bluelady
Posted
Hugs to all
Blue xxx
Pollyanne
Posted