Lichen Sclerosus & Surgery: What Does the Science Say?

Lichen Sclerosus & Surgery: What Does the Science Say?

Introduction Topical corticosteroids are the gold standard treatment; read about it here and here. While steroids are effective in reducing inflammation, slowing the progression of the condition, getting patients into remission, and reducing the likelihood of developing vulvar cancer, they cannot reverse existing vulvar fusing/scarring. Fusing and scarring, however, can affect the functioning of your vulva. If your fusing and scarring are causing functional issues, you *may* be a candidate for surgery.  In this post, I will review the surgery for clitoral fusing and recurrent tearing. Further, I will share important information you should know before booking surgery. *This post is evidence-based. I draw on the medical literature to share what you need to know about surgery and lichen sclerosus. Importantly, what I share is my interpretation of the science and data. Surgery for Clitoral Fusing If you read my post on architectural changes, you are familiar with the term clitoral…
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The Clitoris & Lichen Sclerosus: What You Need To Know

The Clitoris & Lichen Sclerosus: What You Need To Know

Introduction My last blog post looked at architectural changes and lichen sclerosus. This week, we dive even deeper into this topic. Specifically, I am discussing the clitoris, clitoral health, and what you can do if you have any of these clitoral problems as a component of your LS. If you missed last week’s post, you will want to go back and read that first as this post builds on that foundation.  This post is evidence-based; I draw on the medical literature to share what you need to know about clitoral health and lichen sclerosus. I will be sharing my personal journey later in the year. Quick Recap on Architectural Changes LS typically does not affect the vagina. Instead, it affects the skin of the vulva. All those parts that make up your vulva are a part of your anatomy, and that is what is meant by architecture. So what about…
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