Lichen Sclerosus is a chronic skin disease that mainly affects the genital areas, although it can also appear on other parts of the body. Because this condition can cause uncomfortable symptoms and affect the quality of life of women who suffer from it, we have prepared this Vulvar Lichen Sclerosus Guide for you.
In this Vulvar Lichen Sclerosus guide we will explore the causes and triggers of VLS, as well as available treatment options and preventative measures you can take.
What are the causes and triggers of Vulvar Lichen Sclerosus?
Although the exact cause is not known, it is believed that several factors may contribute to its development. There is a genetic predisposition, which means that some people may be more prone to develop this disease than others. In addition, it has been observed that the immune system plays an important role in the development of Lichen Sclerosus.
It is believed that oxidative stress may also play a role in the development of lichen sclerosus. And, physical trauma to the genital area, such as rubbing, injury or surgery, can also trigger the onset.
Symptom management
Symptom management of VLS is critical to improving the quality of life of women with VLS. Treatment focuses on relieving symptoms and preventing disease progression. Topical corticosteroids are the first-line treatment for lichen sclerosus. These medications reduce inflammation and relieve symptoms such as itching, pain and redness. In addition to topical corticosteroids, other medications may also be used to treat lichen sclerosus. Calcineurin inhibitors, such as tacrolimus and pimecrolimus, may be useful in cases of lichen sclerosus in sensitive areas such as the vulva. These medications also help reduce inflammation and relieve symptoms.
It is important to use natural oils with proven anti-inflammatory properties (
Dermnix
) to moisturize your vulvar and perianal area, reduce inflammation and symptoms and protect the intimate area from rubbing that can cause new erosions and fissures.
Remember that a moisturized intimate area is more resistant to external aggressions and therefore a healthier area.
Preventive measures for Lichen Sclerosus.
While the development of lichen sclerosus cannot be completely prevented, there are some steps that can be taken to reduce the risk and prevent the onset of symptoms, such as:
Maintain good intimate hygiene to prevent infections and maintain skin health in the genital area. It is important to avoid using irritating or perfumed products in this area.
Skin care is critical for those with Lichen Sclerosus. It is recommended to wear cotton underwear and avoid tight-fitting clothing that may irritate and chafe the skin. In addition, it is important to keep the skin moisturized and avoid scratching or rubbing the affected area.
It is important to use natural oils with proven anti-inflammatory properties to moisturize your vulvar and perianal area, reduce inflammation and symptoms and protect the intimate area from rubbing that can lead to new erosions and fissures.
Maintaining good communication with the lichen sclerosus specialist and following treatment recommendations is essential for the best management of the disease. It is also helpful to seek emotional support, either through support groups or individual therapy.
Eating a healthy, balanced diet can strengthen the immune system and help reduce symptoms. In addition, avoiding stress and finding ways to relax, such as meditation or yoga, can have a positive impact on overall health.
It is also important to avoid smoking and limit alcohol consumption, as these habits can worsen the symptoms of Lichen Sclerosus. Maintaining a healthy weight and exercising regularly can also be beneficial in reducing symptoms and improving quality of life.
Lichen Sclerosus Treatment Options
In addition to topical treatments, there are other treatment options available for lichen sclerosus. In more severe or refractory cases, systemic treatments such as oral corticosteroids or immunomodulatory therapy may be used. These treatments are reserved for severe cases and should be closely supervised by a physician.
Regenerative medicine based on the injection of stem cells derived from the patient’s own fat either in its Nanofat version as a stromal vascular fraction (LIQUENIA) and the topical application of exosomes opens the door to regeneration at the dermal and epidermal level with the consequent significant improvement of symptoms, erosions, fissures, quality of life and sexual function.
In cases of clitoral phimosis, smegmatic pseudocysts, synechiae, narrowing of the vaginal introitus or opening, fissured granuloma, etc., surgery may be necessary to correct deformities that may occur due to the disease.
Conclusion
Understanding the causes and triggers of lichen sclerosus is critical to managing this skin disease effectively. While the development of Lichen Sclerosus cannot be completely prevented, taking preventive measures and seeking appropriate treatment can help alleviate symptoms and improve quality of life. In addition, self-care and emotional support are important components in the management of lichen sclerosus. Remember not to use this Vulvar Lichen Sclerosus Guide without consulting a specialist. If you experience symptoms of lichen sclerosus, seek appropriate treatment from a lichen sclerosus specialist and don’t hesitate to seek support from available support groups and resources.
Dr. Patricia Gutiérrez Ontalvilla (MD PhD)
