Search found 36 matches

Search found 36 matches
by Dr Karen Gibbon
Thu May 13, 2021 6:48 pm
Forum: Expert clinic on lichen sclerosus
Topic: urination
Replies: 1
Views: 2527

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: 2069

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: 2050

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: 2453

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: 2026

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: 2436

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...
by Dr Karen Gibbon
Thu May 13, 2021 1:57 pm
Forum: Expert clinic on lichen sclerosus
Topic: Topical steroid pulse therapy
Replies: 3
Views: 3383

Re: Topical steroid pulse therapy

My preferred regimen for maintenance treatment is twice daily emollients first and foremost. They keep the acidity and water level of the skin in the normal range. Topical steroids are then used twice a week eg Monday and Thursday to maintain remission. They work by gently reminding the lymphocytes ...
by Dr Karen Gibbon
Thu May 13, 2021 1:51 pm
Forum: Expert clinic on lichen sclerosus
Topic: Permanent Fissure
Replies: 1
Views: 1611

Re: Permanent Fissure

I'm sorry you're having this issue. A persistent and unilateral fissure that won't heal or recurs quickly does need to be seen by a dermatologist. A further biopsy could be considered if topical therapy of the right kind remains ineffective.
by Dr Karen Gibbon
Thu May 13, 2021 1:49 pm
Forum: Expert clinic on lichen sclerosus
Topic: undetermined diagnosis
Replies: 1
Views: 816

Re: undetermined diagnosis

I think establishing a correct diagnosis is important. If your GP can be confident enough and willing to review you to see how the area responds to treatment then that may be enough. However, if you can't get that type of follow up then yes, I think it's reasonable to ask for a dermatology opinion. ...
by Dr Karen Gibbon
Thu May 13, 2021 1:45 pm
Forum: Expert clinic on lichen sclerosus
Topic: severe itch
Replies: 1
Views: 813

Re: severe itch

I'm so sorry you're struggling with such a severe itch. My thoughts are as follows (not in order of importance): 1. Get your HbA1C level (measure of long-term glucose control) into the normal range with your diabetic medication. Ask your GP to check if your iron levels are in the normal range too. 2...
Search found 36 matches