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Lichen Sclerosis

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Op. Dr. Ceren Katar Yıldırım

Lichen Sclerosis

Lichen Sclerosis is a chronic autoimmune skin disease. It is more common in women. The main complaint of patients is itching. It is a disease that can progress unless it is controlled and treated. In fact, there is a 2-6% risk of it turning into cancer.

Liken Skleroz - Ceren Katar Yıldırım
Gynecology

What is Lichen Sclerosus?

Lichen Sclerosis is the condition of chronic inflammation (inflammation) of the skin. Thinning and whitening of the skin in the affected area, and as a result, severe itching attacks occur. Lesions are mostly seen in the external genitalia. But apart from that; It can also be seen on the neck, hips, thighs, shoulders and wrists.

What are the complaints of patients with Lichen Sclerosis?

Patients often complain of whitening and itching around the external genitalia or anus. Since the skin is thinning due to the disease, sensitivity and wounds begin to occur over time. When they wear tight clothing, they feel discomfort due to friction. In those who are not under treatment, over time, adhesions (adhesions) begin to appear. As a result, the external genitalia is deformed due to these adhesions.
Lichen Sclerosis patients also have sexual complaints over time. They apply to the doctor with complaints such as painful sexual intercourse, secondary vaginismus, inability to have sexual intercourse, vaginal dryness, inability to orgasm and sexual reluctance.

How is Lichen Sclerosis Diagnosed?

A skin biopsy is required for definitive diagnosis. However, it can be diagnosed by an experienced physician with visual evaluation.

Regulation of nutrition in Lichen Sclerosis

Since Lichen Sclerosis is an autoimmune disease, nutrition is very important for the course of the disease. In addition to regenerative treatments, the immune system of the person should be regulated with special diet programs. In this way, both the quality of the skin will be improved and the disease will be brought under control as the immune system will recover.

What to do if there is genital area deformation in Lichen Sclerosis?

Lichen Sclerosis, which is a chronic disease, causes adhesions in the external genital area if it is not controlled. Over time, the clitoris becomes embedded. The vaginal entrance is narrowed. Inner lips become indistinct. If there is such a situation, the adhesions should be opened by surgical method.

Lichen Sclerosis and Sexuality

Lichen Sclerosis patients have such sensitivity in the external genitalia that they move away from sexuality as time passes. Because they feel serious pain during intercourse. Some women can't even have intercourse at all. Not being able to orgasm and vaginal dryness are other problems. In such cases, while the disease is controlled by various methods, sexual support treatments should be applied.
Liken Skleroz tedavisi - Ceren Katar Yıldırım
Gynecology

Lichen Sclerosis treatment

The classical treatment of Lichen Sclerosis includes steroid creams and immunomodulatory drugs. Although steroid creams suppress inflammation and relieve complaints such as itching, they thin the skin in long-term use. When the skin becomes thinner, it starts to itch more.

It should not be forgotten that; There is no definitive treatment for this disease. With the treatments applied, the disease is tried to be controlled. At the same time, it is aimed to reduce complaints and alleviate itching attacks.

Today, Lichen Sclerosis management can be done with regenerative treatments. These procedures, which are applied at regular intervals, aim to improve the quality of the skin. When the skin thickens and renews, the complaints will decrease and the disease will be controlled.

Regenerative treatments applied in Lichen Sclerosis

- Genital PRP application- Vulva and intravaginal laser applications- SVF (Stromal Vascular Fraction) treatment- Fat filling- Hyaluronic acid injection
With the examination, the procedure to be applied is determined according to the condition of the skin and the degree of the disease. There is no standard treatment protocol. Each patient's needs may be different. Often combined operations are used. Controls can be made at certain intervals and the procedures can be repeated in necessary cases.
Op. Dr. Ceren Katar Yıldırım.

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