New to LS - start here

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Below are various resources for Lichen Sclerosus from leaflets to useful web sites and recommended discussions. You may wish to reply to this discussion as a way of introducing yourself to other forum members and giving a brief history of your situation.

There is a patient leaflet on LS here which also has related tabs with more information, support groups etc.

https://patient.info/health/lichen-sclerosus-leaflet

Below are other useful websites:

http://www.lichensclerosus.net/ - Information to help manage LS

http://www.lichensclerosustreatment.com/ - webinar from Dr Goldstein. Lichen Sclerosus The Unspoken Pain

http://caredownthere.com.au/ CareDownThere is written by a team of Australian Health Professionals with special expertise in treating vulval disease.

http://lichensclerosus.org/ The Association for Lichen Sclerosus and Vulval Health

Includes a page of Men only discussion - http://lichensclerosus.org/men-only-2/

http://www.bssvd.org/ British Society for the Study of Vulval Disease

This includes a "Find a clinic" service. The full list is here:http://www.bssvd.org/images/stories/documents/database%20of%20members%20of%20vulval%20service%20edited.pdf

Discussion on users' thoughts on causes of LS

https://patient.info/forums/discuss/causes-of-lichen-sclerosus--271583

Other discussion groups that may have relevant discussions to LS:

https://patient.info/forums/discuss/browse/alternative-and-complementary-medicine-3763

https://patient.info/forums/discuss/browse/autoimmune-disorders-3827

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  • Posted

    Hi there. I am 39 years old and was diagnosed as having LS and possibly LP as well although gynie not sure about the  Lp. My symptoms started out of no where about 9 months ago and it's been incredibly frustrating for me . Like many others I get the fissures down below and can get incredibly itchy too. My sex life is non existent as it is always sore. I really hope the steroid cream can help me. Not due back to gynie for 6 months tho. I feel this is a long time? Does this seem normal?? Have been freaking out a bit since diagnosed and feel like my womanhood has been stolen from me. 
    • Posted

      Totally normal. The reason there are so many of us sharing tips here is, once the specialist gives you the prescription, your twice-a-year visits are to check that there are no bad cells. So, rejoice in the fact that you are now in good hands. Many of the scary photos online are old ladies neglected and never even diagnosed who developed squamous cell carcinoma. So don't look at photos! And stick around here finding out what else you can do to prevent flare-ups and soothe one when you have it. Just be prepared for the drug to take many months to really work. In my case it was two years! Do watch Dr. Goldtein's presentation (linked above). Sorry you've joined the ranks, but better to be treated than soldier on grinning and bearing it for decades as I did.
  • Posted

    Hello

    i am new to this site.

    i have been diagnosed for a year but I believe I had it for at least 10 years. The only symptom I had prior to a year ago was painful sex, so we stopped, sadly. Also quite a bit of thrush, which may not have, in retrospect been thrush only. A year ago I got very sore, burning and hurting urinating. Usual tests, swabs, urine test but nothing. Off to gynaecologist, saw a registrar who said it was atrophy due to age and to apply oestrogen cream daily for two weeks. After a week I had to stop it as so swollen and splitting and bleeding. Found a GP who specialised in women's health and she did a biopsy. That was the first time I have heard of Lichen Sclerosus, and I was a nurse for 35 years. She gave me Mometasone cream, a steroid.

    My initial flare up went away and I forgot about it, then I got another four months ago and went to gynaecologist, a lady one this time and wouldn't be fobbed off by the registrar!  She said I must continue with the Mometasone and taper it off but no other advice or suggestions. Now I really am worried as I don't seem to be free of the constant burning and it's taken over my whole life and thinking. I am being treated for depression because of my worry over this and I realise it's a vicious cycle that I am stressed because of LS and LS seems to be exacerbated by stress!

    I am 70 and should be glad I am not one of the young women I read about who have to cope with this and a job and family.

    I am looking for suggestions to ease my symptoms and will read everything avidly. I am fortunate I have no itch as well, just the burning. 

    I am from New Zealand  and many of the creams and medicines mentioned here I have never heard of. I have heard that emu oil in its purest form can be beneficial and I am hunting that up here.

    thank you

    Lynne B 

    • Posted

      Mometasone is a class 2 'potent' topical corticosteroid. The clobetasol most of us are prescribed is class 1 'ultrapotent'. So you needn't be too stingy with mometasone. Statistically, more women use too little of these things than too much. Underusing it is counterproductive. When they say taper off they mean down to twice a week forever. If you quit when the flare-up subsides, it will come back with a vengeance.

      Lynne, you can absolutely get this under control. I'm 63 and also had to give up sex. Thrush always flared up from the friction and LS is the evil partner of thrush. Please look at all the extra things we do – baths and rinses with baking soda (1/3 cup in a bath, 1 tbsp in a basin, a pinch or two in a squirt bottle); no soap down there! Use some sort of oily stuff to repel urine – Vaseline will do, organic coconut oil (shortening, really) is popular here; cotton panties; loose clothing. And try to keep your anxiety level down. Don't look at photos of LS online. Those are neglected cases. Good luck with the emu oil – lots of the women here use it. I was depressed for a year or so after my 40-years-late diagnosis. But I'm all about peace now and my LS is pretty calm.

      Glad you found us.

  • Posted

    Hi there. I was diagnosed with severe LS aged 19. I had two and a half years of awful blistering, splitting, lesions that took weeks to heal but thankfully, it seems to have calmed down lately and I havent had a flare-up for a few months (although small tears still occur frequently). I am 22 now and unfortunately, the years of blistering have left me with virtually nothing 'down there' as most of the skin simply came away and now it is mostly hard scar tissue with the opening only maybe two centimetres wide. Obviously this makes any kind of intercourse impossible, not to mention exceedingly painful to even attempt. I have been with my partner for 4 years now, they have seen me through the worst of my condition but it has left us totally without a sex life, something we both miss and I feel incredibly guilty for. I would love to know if anyone in a similar position has had any surgery or other treatment relating to this and, if so, has it helped? I would be grateful for any advice as this is almost ruining my life!
  • Posted

    How long have you had a diagnosis of LS? Age 56 . Diagnoses two years ago (brushed off as no big deal from a clueless primary care doc.  Asymtomatic, except some white line 'scarring'.  Recent 'outbreak' is the first lesion, itching, pain, etc.

    Do you suspect that you have had this for much longer? Most definitely.  I had never heard of it, not had I had any gyns recommend regular self exams (with mirror) of my vagina.

    Is it currently under control? NO!  Which is what brought me to this wonderful discussion group

    When did the irritation start? Ten days ago

    Has the area always been irritable? ocassional itchiness, short term, not concerning.

    Are you suffering a flare at the moment? Yes (Oct 2015)

    If so, can you attribute the cause to anything specific? No

    Do you suspect that other members of your family may have had/have LS? Wouldn't know, we don't discuss such private matters.

    Do you have any other skin conditions along with the LS? No

    Describe your skin type: Fair, sunburn easily

    Do you suffer from an autoimmune disorder e.g. rheumatoid  Arthritus/Crohn’s/please add …? No

    Have you been tested for high cholesterol? Yes ,cholesterl levels very slightly elevated

    Do you suffer from high blood pressure? No, have very low blood pressure

    Statins? No

    Diet and exercise? Healthy diet, regular exercise.  Recently stopped drinking completely

    Do you suffer from high blood pressure? No

    If so are you being treated for this? N/A

    Do you suffer from low blood pressure? No

    If so are you being treated for this? N/A

    Do you suffer from anxiety? I've had a lot of anxiety learning about LS!

    Have you taken steps to reduce your stress? Not enough

    If so what have you done?n/a

    Do you have a flare-up of LS if something is causing you stress? Hopefully not

    Have you had surgery related to LS? No

    Biopsy: No (Scheduled for end of October -- to rule out vulvar cancer)

    Have you experienced other surgery? No

    Episiotomy: Yes

    Please list any of the prescribed topical creams you use currently

    Just starting treatment.

    Emollients:

    Barrier creams: no

    Alternative treatments: Over the counter hydrocortisone,topical lidocaine

    What sort of products do you avoid when cleaning the area? I've always used frangrance free products

    When do you wash? Mornings

    How do you dry yourself? Towel

    Do you wash in hot or cold water? Warm

    Do you dread having a poo? No What happens? Since flair up, bowel movements terribly painful.  Added fiber, hyudrating more.  May try stool softener.

    Does pee sting you? No What do you do about it? No

    What can you no longer wear? No restrictions so far

    What do you now wear? Loose cotton panties, loose trousers (looser at home)

    Do any foods seem to make the LS worse? Haven't determined yet

    Is this discomfort on already damaged skin? It makes the area around the anus red and sore/itchy  No, this flair is the first

    I'm retired US Military, and single (divorced).  I appreciate these threads, I'm learning traditional ob/gyns may not have the depth of information I will need to effectively manage my LS.  

  • Posted

    Hello Everyone, I am 27 years old and just diagnosed with LS. My doctor said that on a scale of 1-10, I am 2-3. So I am happy to hear that. My gyn has been great at soothing my worries, but she hasn't really explained to me how my condition can progress. She kept saying that in some women the skin completely thins out, architectural loss, serious pain, etc happens, but lets start the treatment and see how this goes. I was hoping that someone here can explain. From what I read, prompt diagnosis greatly helps and I think that is my case, but I was wondering if anyone here was diagnosed early and the treatment stopped helping or maybe with menopause it got worse. I am a bit scared right now of where this LS will take me in the future. I am not looking for horror stories, but more realistic expectations. Yes early diagnosis is key, but even with that what can I expect?
    • Posted

      I was never diagnosed for 40 years, but I had LS like you at age 22. The pattern over the decades has been that stress and excess sugar intake make it flare. I had two babies, no problems. The worst fusing happened recently, age 62. I had too much painful sex with demanding men. If I had known what it was back then I never would have had sex while my perineum was torn. Also, I had frequent yeast infections which got into a vicious cycle with LS, made worse by the friction of sex while flared up. So, you can have a much better experience than I had.
  • Posted

    I haven't been diagnosed yet but say maybe early onset. I don't know what to do anymore. No white patches or anything yet. Just burning and itching and soreness and an inflamed clitoris. And even my a is burns and hurts. Ugh! 
    • Posted

      Have you seen a gynaecologist? No good self-diagnosing, although you may be in the right forum. If you do have LS and you are young, early treatment would be very good.
    • Posted

      Yup I have been twice now. She just said may be early start of it. I go back in February.

       

    • Posted

      One of our members started a new discussion yesterday. Her gynae said the LS patients who do best are those who consistently moisturise after using the toilet. This means some sort of rinse first, some members carry a little squirt bottle of water with a pinch of baking soda in it. I wish I had known this 40 years ago. If you watch stress and sugar you may do very well. I really hope so.
    • Posted

      Oh really... I'll have to try that. I need to start on a sugar free or lower sugar diet than. See what happens. Even my butt hurts sometimes...is that normal?  
    • Posted

      With LS, skin burning is typical. Just moisturize and do delightful soothing baking soda baths... Ah... Relief! Besides low sugar diet and steroid.
    • Posted

      And, yes, it can affect the anal area.
    • Posted

      Oh never thought about a baking soda bath.how much do you put in? 
    • Posted

      1/3 cup baking soda into a shallow bath (tho I tend to keep adding more watersmile. Soak for 20-30 min every other day. It is so soothing for me. Hope it helps you!
    • Posted

      The textbook LS diagnostic image is a 'figure 8' – all around the vulva and around the back door. I'm starting to believe that LS is a reaction to what's in our poop and pee. It's said that men don't get LS often because unless they're uncircumcised urine has nowhere to sit on skin. Mine is very calm these days, only ever active on the perineum, which – duh – is the spot that gets the most urine on it.

      Don't stress out trying to go completely sugar-free. Just cut out big hits like large desserts, chocolate bars, soft drinks, ice cream (a few times last summer I got a kiddy cone), etc. I have two coffees a day with quite a lot of sugar. That's my main hit.

    • Posted

      Yea I'll have to cut down on sugar. My biggest thing is ice caps from Tim Hortons lol only caffeine I get lol which is prob loaded with sugar. But I need to try something. I haven't been diagnosed fully yet just have some cream as of right now. I go back in February.
    • Posted

      Yeah, you sound Canadian. (Me, too.) An ice cap is basically a milkshake. Bad.

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