The vulva is made up of two pairs of ‘lips’. The vulva contains skin, mucous membrane and glands. The spots are usually shiny and smooth. The mainstay of therapy for lichen sclerosus over the past 30 years has been topical testosterone cream; more recently, the drug of choice is clobetasol dipropionate (Clobex, Olux, and Temovate).[38] Lichen planus is a chronic, shallow mucositis of unknown etiology in which desquamating and ulcerating lesions of the vaginal mucosa spread out onto the vestibule. Peeling ointments , such as those containing salicylic acid , may be used on thickened lesions . The pain started early. Lichen sclerosus is a rare condition that leads to white patches and thinning of the skin and can be diagnose either by a physical examination or by a test of tissue under the microscope…

Vaginal Lichen Planus – Sometimes the vaginal tissue may adhere to other tissue and scarring can occur along with narrowing of the opening or depth of the vagina. While lichen sclerosus appears predominantly in postmenopausal women, this skin condition is also known to develop on the head of the penis in men. We provide pre-conception counseling for sero-discordant or sero-concordant HIV couples and offer Pre-exposure prophylaxis ( PreP) counseling, as well. Lichen Sclerosus is characterized by changes in the skin of the genital area that becomes thin and faded and develops small white patches which can join up over time. But the chances of its occurrence are more in women. Women hide and scratch, enduring pain, engendering significant debility and sexual dysfunction, and wasting millions of dollars on “yeast treatments”. She stated, “It feels like someone is pinching my skin!” She complained that the skin along her vulva was dry, broken down and “bumpy,” and that her labia were swollen.

My lower back causes quite a bit of pain, and I’m experiencing a strange and uncomfortable sensation in my feet and lower legs. Sexually transmitted diseases are a common cause of vaginal bacterial and viral infections in the general population. Ongoing professional care is suggested and swabs of the area may be taken to assist in diagnosis. The vulva is made up of two pairs of ‘lips’. These women may have yeast infections or bacterial vaginosis that keeps coming back or is resistant to the usual treatment or they may have more unusual conditions such as desquamative inflammatory vaginitis, vulvodynia, vulvar vestibulitis syndrome, lichen sclerosus, erosive lichen planus, plasma cell vulvitis, lichen simplex chronicus, genital warts, vulvar dermatitis, and many others. Occlusive dressings may be applied for 4-6 hours prior to bed, or overnight, if tolerated. You will then be referred to see a specialist in the hospital.

Lichen sclerosus can, however, affect the epithelium immediately around the urethral meatus and also the lower part of the urethra. Pruritic vulvar diseases have a huge impact on quality of life. Psoriasis is a lifelong autoimmune condition. The labia majora are usually covered with sparse pubic hair and are considered a skin structure. Extragenital lichen sclerosus can occur in any location on the skin and infrequently appears in the oral cavity. Causes may include: Recent pregnancy / childbirth Retroverted uterus (this refers to the position of the womb) Uterine prolapse Pelvic inflammatory disease or infection Endometriosis Ovarian cysts Uterine fibroids Bowel disease especially irritable bowel syndrome (IBS) Lumbosacral arthritis Adhesions following previous surgery or radiation Genital tract cancer. I would ask if there are any other areas affected as vulval dermatoses may be a manifestation of other conditions e.g.

1) does herpes cause a strange smelling body odor, I thought my armpits smelled different than usual for a couple of days2) I took some valtrex just in case, could that affect the blood test? Skin condition characterized by exposure to allergens or irritants that produce vulvar or vaginal itching and burning. At that time I could not even get the smallest tampon in. I have ben checked by a neurourologist who could find little wrong and I was referred to a dermatologist as part of the diagnostic process. Dermatitis can be caused by an allergy or exposure to something irritating, such as soap, fabric or lotion. Discuss this with your doctor or specialist. Not to mention the big chronic crack on my perineum, echoing the episiotomy I had with my first child.

Lichen Planus of the Skin Lichen planus affects the skin, presenting as a rash of flat-topped purple itchy areas. In this series we focus on non-malignant disorders of vulvar skin. My mouth calmed down terrifically during the fasts. It is hard to find data on the epidemiology of vulvovaginal candidiasis, likely because vaginal colonization with Candida, which is a prerequisite for the condition, occurs in at least 40 percent of adult women. However, infections rarely produce chronic symptoms that do not respond, at least temporarily, to therapy.