LS prognosis
Posted , 11 users are following.
I've been coming to the realization after 18 months of treatment that the only treatment our dermatologists and gynaegologists can offer (ultrapotent topical steroids) stop inflammation and open wounds, but they do not stop the forward march of disfigurement in my case. The hardening and tightening of a ring around my vaginal introitus continues. I think after menopause the prognosis is much worse. This review doesn't seem to address this, unless somebody's a better reader of this stuff than I am.
I found this review in the American Journal of Clinical Dermatology, of all studies as of 2012: "Diagnosis and Treatment of Lichen Sclerosus: An Update". Pretty good news for those with early diagnosis who stick with the clobetasol.
"In a descriptive cohort study with a mean follow-up of 66 months, 327 patients (74 girls and 253 women) with vulvar LS have been treated with topical corticosteroids. Clinical signs improved in nearly all patients, but only 22 % of the girls and 23 % of the women showed complete resolution of clinical signs with return to normal skin texture and color. The concept that prepubertal LS resolves at puberty appears not to be true in the majority of patients. Seventy-five percent of girls who develop LS prior to puberty will continue to require maintenance therapy after menarche.
There is a significant risk for women with vulvar LS to develop scarring with loss of vulvar architecture and normal function. Cooper et al. showed in their study of 327 women that a delay in diagnosis of 2 years or less was associated with less scarring at diagnosis. In a second long-term study (mean follow-up 6.2 years), the authors compared the data of 84 fully compliant women with 45 partly compliant women with vulvar LS. Ninety-eight percent of the fully compliant patients achieved complete symptom control, including ability to resume sexual activity without pain. None had disease progression. In partially compliant patients, only 75 % achieved complete symptom control and 35 % experienced progression of disease with scarring and fusion."
2 likes, 39 replies
Jeepers Morrell1951
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Who were the partially compliant and what didn't they comply with which caused a quarter of them to still have symptoms of their LS whilst nearly everybody else was having it stopped in its tracks?
I have been very compliant yet still experienced relentless progression. I have read forums for over 12 years now and seen all the complaints, read all the doctors comments,the consutants findings, the specialists recommendations and all the tips from woman to woman especially about moisturisers and barriers and washing and bathing and keeping the urine off the LS skin.
I have done the lot, taken every step, yet it has progressed inexorably. Yes, i know how to "manage" it so that discomfort is reduced, but as for the actual architecture, nothing has stopped the shrinking, twisting, sticking, covering over of the labia and clitoris. I am left with a small opening to pee through and need to keep that open using a lubricated plastic tube, no longer having a sex partner.
The fusing seems to happen when we are not looking but one night a few years ago I watched it happen. The inner labia were in the process of sticking further as I went to apply the dermovate. I pulled the lips apart and saw the sticky strands between them. I let them go and they stuck so fast I could barely pull them apart again. It was late at night and I was tired. I could not sit like that all night holding the skin apart. I wished there was something to hand I could place between them
sides to prevent the sticking, but I knew if I let go for just a couple of seconds it would be stuck fast....which is what happened. I was not only compliant but had caught it in the act and there was nothing at all I could do to stop that process.
These specialists learn from their patients and reflect what they learn back to us. They can conduct as many statistical experiments and keep as many records as they like, and that is interesting, yes, but they are not finding anything out that we are not telling them.
Twelve years ago the threatment was clobetasol and moisturisers and barriers, and today it is the same.
Morrell, we must just be unlucky to be so compliant yet live with the progression of the disease I think. My last bit of fusing took place about 4 years ago, 8 years into the LS, and it is stalemate on the last few centimetres.
Has anybody here found that treatment halts the progress of the LS? I don't mean the nasty symptoms but the visible progression? I am miffed.
Morrell1951 Jeepers
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I'm pretty depressed that I'm well on my way to where you are and there's nothing I can do to stop it. When I embarked on my plan to use my fingers to 'dilate' when I do my twice-a-week pre-soak, I imagined it would be sort of fun. Ha! Instead I've been noticing these hard lumps of scar increasing up the back of my vagina and this band that feels like a rolled-up condom right around the rim. It hurts to stretch it and I'm not optimistic that I'm even helping.
The way I see it now is just like my mother's rheumatoid arthritis. Thanks to drugs, she has no pain, she's gone the distance beyond all expectations, she only has some swelling when she's stressed out or she overexerts her joints. But the disfigurement marches on.
I know the hardcore alt med fans with think I'm capitulating here, but on the contrary – it's really important to keep up the treatment so we don't get cancer. There's no time to fool around. And grinning and bearing painful sex is only koebnerizing the problem area, making it worse. I wish I could reverse all the painful sex I put up with.
If we want a communication campaign it should say, "Don't grin and bear it! Painful sex could mean you have lichen sclerosis. Google it. And see your doctor ASAP.
Maybe we should all carry Sharpies and just write it on stall doors.
hanny32508 Morrell1951
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I too was closed up overnight with a small opening for peeing left. Joodie, I would start the ball rolling - make an appointment with your doctor, then go to a gyna who truly understands where you are at. Talk about dilation of the opening still left. There is some good knowledge out there that can help. Don't wait too long anymore. All goes under anestetics, it's very doable.
I again took note of your excellent remarks, Morrell. I'm collecting text for a possible flyer. People need to know. Early detection is key. If we can not be helped sufficiently with what is offered, then perhaps other people can benefit from our experiences. Let people know that this illness exists.
The psychological part is the hardest, I find. That is most likely also the hardest element to overcome when people notice something is wrong. Especially in this 'oversexed' world. How would our 'advertisement' come across?
I think that no illness for which there is not really a cure, is easy to bare.
Jeepers hanny32508
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We can be cut to widen the opening, yes. That is no more than a simple basic solution though so I would like to know what the "good knowledge out there " is to cheer me .
If ever it comes to that crunch for me I would ask for a catheter to be fitted during healing however .
I heard it closes up again ( well it would wouldn't it? it is LS skin don't forget ).
Morrell1951 hanny32508
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hanny32508 Jeepers
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I too was very worried that it would close up again. But it didn't. Just have been very diligent with baking soda rinsing, baking soda baths and loads of coconut oil, for starters. And not to forget - the process of dilating. Add to that my very strict diet: no sugar, alcohol, caffeine, soya, gluten.
Do I know which elements made the biggest difference? No I don't. Let's say it is the whole bundle that contributed. Plus a ridiculous determination. (sometimes wavering)
hanny32508 Morrell1951
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Sometimes you see these bulletin boards in supermarkets or other where everybody can pin their advertisements for their club, the baby sitting services they have to offer, the puppies that are for sale etc. What do you think? Could that be a place where one could put up a flyer like what we had in mind? What other places are there, public places? Can you think of any other?
Morrell1951 hanny32508
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I don't remember how I found it and diagnosed myself. Probably Googled 'white patch and tear on perineum'. At that point I was not even thinking 'painful sex', because I never had any other kind.
"Painful sex could mean you have lichen sclerosis. It's not an STD. Google it. And see your doctor ASAP. Early diagnosis can make a huge difference."
hanny32508 Morrell1951
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Now I have to muster the courage.
Morrell1951 hanny32508
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deb09833 Morrell1951
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hanny32508 Morrell1951
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So now I wonder how people will react when they know 'you're no good' anymore.
hanny32508 deb09833
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Guppy007 deb09833
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deb, I think that's an excellent idea. I tried to post my website, but I don't think its allowed, anyways you can Google me.. Artist Katie Black Fine Art America... I am happy to donate a painting if you do decide to go down that route at any time in the future. I haven't a clue how you would even begin that kind of campaign, but I am sure that there are people that do...it would definitely help raise awareness...which is what is needed.
Jeepers hanny32508
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I too am on no gluten, also dairy free, low sugar but started using soy milk instead of cow's. I am not hopeful but a friend says I must at least try. i will give it six months unless anybody on here tells me it works.
The baking soda tip sounds good as is used in cancer too apparently, keeps the area alkaline. Okay. Trying that too now - thanks! 76 years old and never too old to learn.
hanny32508 Jeepers
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After the experiment with candles covered with condoms, I was running out of the right size of candle. (Don't feel bad - I started with a birthday cake candle) (at the time after the procedure in the hospital six times a day to keep all open) (now two times a day) Thus purchased a set of plastic dilators as well. Needs lots of oil and patience. But does make a difference.
You switched to soya milk, I went to coconut milk. (I will become a coconut myself. (ha)) I felt unwell drinking cow milk a long time ago already, and soya didn't work for me either.
Yes, alkaline thoughts go into the direction of cancer prevention as well. Very old thoughts already, from the 1920's. Imagine, it just recently was brought to my attention. Well worth a try I think.
Good luck with all. I hope that somehow it will become more liveable for you.
deb09833 Guppy007
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British Skin Foundation is the only charity dedicated to skin research and all the donations and fundraising events are crucial to enabling BSF to continue their research. This is just one that came up in a Google search. I really think we could pull something off and in doing so bring about the awareness that is needed with some possible research that just might help us all.
winifred02134 deb09833
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winifred02134 Guppy007
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winifred02134
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Guppy007 deb09833
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Guppy007 winifred02134
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Guppy007 winifred02134
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deb09833 Guppy007
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