Penis Lichen Sclerosus, male 34
Posted , 3 users are following.
Hi all,
I read other conversations regarding this but there are still a lot of things that are not clear. People that have had this for some time please respond as I am in need of advice. Been diagnosed last month with LS but the private dermatologist did not give much information, just guided me to BAD website which again is not very clear. I guess I am more worried about long term effects including possibility of cancer, had anyone experienced that?
Is circumcision a good idea? Is it effective in curing LS?
Steroid cream for inflammation not helping, what should i try instead?
0 likes, 11 replies
Joannwilson al22071
Posted
This is not a cancer. It is a pre-cancerous condition and i do not think there are any cases at all where it has advanced to cancer. If you google the condition there has only even been one case where a man had a white spot on his lip and it went away on its own and never recurred. I was looking into it because I have some sores on my mouth after extensive dental l work and having LS i was worried it might be connected.
There is currently no cure for LS. It is considered an auto immune condition. Even though literature seems to say its been known of since the 1800's.
I am not a health care professional, just someone who who has been there and done that for many years now.
LS is one of those highly misunderstood conditions with not much quality information. Perhaps because it is seen as a condition and not a disease, or because it mostly affects women and in an "unmentionable" area. LS isn't very well studied or considered of importance in my opinion.
I hope you find the answers you are looking for.
al22071 Joannwilson
Posted
thank you, how long have you had the condition? how are managing it?
Joannwilson al22071
Posted
I have had this for several years and its only recently after seeing a urogynecologist that I even found out what it was.
I have been using clobetasol ointment prescribed from the Urogynecologist which does help with some of the symptoms. It is a steroid ointment. I have found that primarily keeping the areas that get to hurting, really moisturized and I use A&D ointment and something called Cerave cream. The Cerave was advised by dermatology as with this condition you tend to have very thin and dry skin on the rest of your body as well.
Also the dermatologist advised using a very mild moisturizing soap to bathe with. I use one that is oatmeal based too.
It seems to me that you have to really pamper your skin to reduce irritations. Even your clothing has an effect and you should always try to wear loose fitting cotton underwear.
When I have bad flareups, and it does wax and wane over time, luckily I can wear a dress or skirt and "go commando" because anything touching the area will feel awful.
I do agree with the post below about foods. Acidic foods especially work
their way through your urinary system and can really set up a reaction. I have not really looked into the whole dietary regimens, but it makes sense.
As I didn't know about LS previously most things I figured out by trial and error.
Now I can be better educated, and this is a good place to find out from others who have dealt with it.
Wee_Dugie al22071
Posted
Hi I am a male who has been dealing with BXO / Lichen Sclerosus for the last 9 years or so.
Not sure if you are describing the topical steroid you have as a cream, rsather than it actually being an ointment, as certainly, for male LS cream versions of steroid applications these have very little beneficial impact.
What is the steroid called, is it white in colour or is it clear / opaque? When did you first use it, how often did you apply it, and was it described in detail to you how you should use it? Unless you have been applying a steroid ointment correctly, that is, sufficiently frequently enough to deal with the level of infection you have, have sufficiently rubbed it into the skin so that it is absorbed, have carefully stretched the skin in the infected area - and of course, that the steroid content is of the required strength yo will never know whether it could have provided you will the correct management of the condition.
I would say that unless you have been applying it for 4, 5 or even more months all you will have is a false impression of the steroid itself, given the additional factors I have just highlighted.
And no, circumcision is no guarantee of cure - on the Penis Disorders Forum elsewhere on this web site LS is not a common issue that is posted on by males. However, when I first started my involvement on this web site 1 male stated he had been circumcised to 'cure' LS - still had the condition afterwards - but was now minus the benefits that a foreskin provides. In addition, 1 other male who had been circumcised at birth acquired LS as an adult - with the typical medical information that is in common circulation being that circumcised males cannot get LS.
My main criticism of this Forum is that the additional factors that are particularly pertinent to LS, and, indeed, to all Autoimmune conditions, is that things like dietary specifics are not even mentioned as being relevant (and yes Ladies, I have extensively read the posts in this Forum). It is Nancy KB who has extensively researched these broader, essentially relevant factors and you would do yourself a great benefit by reading what Nancy has posted in this Forum. I include Links to some of the most essential posts by both Nancy and Starligh8 below:
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https://patient.info/forums/discuss/nutritional-support-protocol-for-autoimmune-diseases-636963
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https://patient.info/forums/discuss/pathway-into-and-out-of-autoimmune-diseases--661033
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I also include a Link to a Response Posted by Starlight8 as I have found that the information is particularly relevant to dealing with Genital Skin Disorders where treatment consists of topical application of Steroidal Ointments - and again is most relevant to those dealing with or suspect they may have Lichen based skin disorders, such as Lichen Sclerosus (LS):
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https://patient.info/forums/discuss/lichen-is-taking-my-life-need-help-660159?page=0#3199398
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.. for those accessing the final link you may need to scroll down the page to see the response posted by Starlight8 as it was not her original Forum Posting, it was a very detailed Reply to someone else.
RyanG85 al22071
Edited
Hi Al
I am also 34, male and I am in the UK.
I have penile LS - which appeared at EXACTLY the same time as my Alopecia Barbae just over a year ago. A consultant Dermatologist gave me ELOCON (Mometasone Furoate) to apply to both areas (safe on penis).
Within DAYS my LS appeared to almost completely disappear. White patches/hard skin disappeared. Was very strange!
It hasn't helped my alopecia so far - but the Dr suggested months.
It's evident that I have an autoimmune issue. I have been through significant stress at work - also turning to alcohol which really isn't good and, thankfully, I noticed this early on and stopped.
This leads nicely to the next point. My blood tests - including a MYRIAD of different types - liver, CRP, EFT, Immunoglobulin, ANA, thyroid - are unremarkable. Everything was completely normal. You name it, I've had the blood test for everything. I thought it was a Vitamin B12 issue - but alas not. The Active B12 was also normal.
HOWEVER, my Vitamin D test was exceptionally low - as in almost undetectable volume! I suspect this was due to my alcohol intake not allowing vitamins to be absorbed.
I have been taking supplements for a few months and have a blood test soon to check on this.
Provided you don't have any severe phimosis, try the cream and also insist on FBC, U&E and LFT blood tests. Also request Thyroid. If you're worried, and depending on where you live, I'd suggest 'Thriva' online testing (or the equivalent depending on where you are globally). I think I paid £60 and it tested a lot of things and is entirely accurate and comparative with NHS results I've had.
Wee_Dugie RyanG85
Posted
Mometasone Fuorate is NOT the recommended treatment for Genital Lichen Sclerosus, also known as BXO in males. Here is some details from the Patient Leaflet:
" Mometasone Furoate Cream is used to reduce redness and itchiness caused by certain skin problems such as psoriasis (excluding widespread plaque psoriasis) and some types of dermatitis.
This medicine is put on the surface of the skin to reduce the redness and itchiness caused by certain skin problems. "
.
As I understand it Cream cannot treat diseased skin, that is, LS is not a surface based skin issue - rather it is Disease internal to the skin itself and as such only ointment versions of a correct strength potent corticosteroid can manage and help control severe skin conditions such as LS.
Therefore, Mometasone Fuorate may reduce surface level symptoms for a period of time but is unlikely to control the underlying disease.
RyanG85 Wee_Dugie
Posted
Well, the OP mentioned a topical cream and asked what else they can try. This worked for me (very quickly) and was recommended and prescribed by a Consultant Dermatologist as such.
Mometasone Furoate is a potent topical steroid cream?
No cream will control the underlying disease. It is an immune system issue. This cream did, however, reduce my symptoms for inflammation very effectively.
Wee_Dugie RyanG85
Posted
Yes, you are correct LS is an autoimmune condition. The role of an appropriate topical steroid ointment, such as Clobetasol (dermovate) is to enable the skin condition to be managed so that the diseased skin is as healthy as possible.
I have used dermovate for almost 9 years now and I would simply describe my diseased skin as exactly that: as healthy as possible. Certainly it is not going to recover, but at least the skin, with regular use of the ointment does not look distressed as it originally was ....
al22071 Wee_Dugie
Posted
what do you mean by distressed? red? inflamed? whitened?
al22071 Wee_Dugie
Posted
what do you mean by distressed? red? inflamed? whitened?
Wee_Dugie al22071
Posted
Any penile skin that is not fully healthy, distressed is a way I would describe any skin symptoms - so from your list any, or potentially all would apply.
So a simple question to ask would be is the skin fully healthy or not, if it is not it has some level of distress about it ....