Search found 20 matches

Search found 20 matches
by Dr Karen Gibbon
Thu May 13, 2021 7:05 pm
Forum: Expert clinic on lichen sclerosus
Topic: cortisone simply deletes the skin like salt evaporates slugs.. thoughts?
Replies: 1
Views: 851

Re: cortisone simply deletes the skin like salt evaporates slugs.. thoughts?

I'm sorry but I don't understand your question in order to formulate an appropriate reply.
by Dr Karen Gibbon
Thu May 13, 2021 7:02 pm
Forum: Expert clinic on lichen sclerosus
Topic: lichenification
Replies: 1
Views: 1017

Re: lichenification

Lichenification refers to thickening of a skin lined surface - so yes, lichenification in the vagina can occur. What is causing it however won't be detected with either a swab or urine test. If there is altered skin in the vagina then it needs to be checked out by a gynaecologist initially.
by Dr Karen Gibbon
Thu May 13, 2021 7:00 pm
Forum: Expert clinic on lichen sclerosus
Topic: diet/hormones
Replies: 1
Views: 1023

Re: diet/hormones

As LS can occur in patients of all ages eg children, pregnant women and post-menopausal women there is not a simple answer to your question regarding hormones. No research to date has found a clear link to hormone levels to account for the development of LS. Likewise diet hasn't been shown to influe...
by Dr Karen Gibbon
Thu May 13, 2021 6:55 pm
Forum: Expert clinic on lichen sclerosus
Topic: Expert clinic on lichen sclerosus
Replies: 2
Views: 7142

Re: Expert clinic on lichen sclerosus

I'm sorry you're having such issues. LS can be unpredictable and continue to spread for a while before it starts to respond to therapy. If you've only been using clobetasol since Feb then atrophy is very unlikely. You are however using a lot of different products on your vulva and there is a potenti...
by Dr Karen Gibbon
Thu May 13, 2021 6:48 pm
Forum: Expert clinic on lichen sclerosus
Topic: urination
Replies: 1
Views: 1204

Re: urination

If you have otherwise normal skin then acidic urine will not cause damage. If you have LS which is not fully treated then yes, the more acidic urine over night may cause some irritation. This can be helped by ensuring you use a good barrier type emollient ointment at night time. Remember to re-apply...
by Dr Karen Gibbon
Thu May 13, 2021 6:44 pm
Forum: Expert clinic on lichen sclerosus
Topic: labia becoming none existent
Replies: 1
Views: 838

Re: labia becoming none existent

I'm sorry to hear about this problem. It does sound as if you do need a careful thorough physical examination after an adequate history has been taken from you about length of symptoms and what treatments you've used etc. Labial size does very hugely between every woman, but advice on exactly where ...
by Dr Karen Gibbon
Thu May 13, 2021 6:40 pm
Forum: Expert clinic on lichen sclerosus
Topic: Efficacy of biopsies in diagnosing Lichen Sclerosus
Replies: 1
Views: 820

Re: Efficacy of biopsies in diagnosing Lichen Sclerosus

When I first stared doing vulval clinics (last century) we thought it was a good idea to biopsy every patient. I know that was a long time ago and along with other colleagues we've come to realise that a biopsy is not necessary if a sound clinical diagnosis can be made. I now reserve biopsies for pa...
by Dr Karen Gibbon
Thu May 13, 2021 6:32 pm
Forum: Expert clinic on lichen sclerosus
Topic: LS spreading
Replies: 1
Views: 1095

Re: LS spreading

LS can spread to other areas such as around the anus and perineum. Spreading to the inner thighs is less common but can happen. Using super potent topical steroids in the inner thighs can be associated with skin thinning - if used for any length of time. I would suggest getting your GP to examine yo...
by Dr Karen Gibbon
Thu May 13, 2021 6:29 pm
Forum: Expert clinic on lichen sclerosus
Topic: Vulval Lichen Sclerosis and vaginal/vulval atrophy
Replies: 1
Views: 812

Re: Vulval Lichen Sclerosis and vaginal/vulval atrophy

I'm sorry you're struggling with this symptom. I wonder if it is a mixture of physical dryness due to under treated atrophy or whether you also have irritable nerve endings which are giving you the sensation of dryness eg a chaffing, sand paper like or burning sensation. If so this may be helped wit...
by Dr Karen Gibbon
Thu May 13, 2021 2:03 pm
Forum: Expert clinic on lichen sclerosus
Topic: Alternative steroid creams
Replies: 1
Views: 1112

Re: Alternative steroid creams

I'm sorry you're having a potential reaction to topical therapy. I would speak to your GP to describe what symptoms you're having. Alternative steroid preparations can be considered but do discuss this with your GP first. They can ask your local dermatologist for advice and guidance on this if neede...
Search found 20 matches