Managing Vulvar Fissures from Vulvar Lichen Sclerosus

Managing Vulvar Fissures from Vulvar Lichen Sclerosus

Introduction In our last post, I (Jaclyn) shared my experience with vulvar lichen sclerosus and fissures. In today’s post, we will dive deeper into the nature of fissures, why they happen with vulvar lichen sclerosus, and recommendations on healing and treating them. *This post is evidence-based; I draw on the medical literature to share what you need to know about vulvar lichen sclerosus and fissures. Importantly, what I share is my interpretation of the science and data. **If you found this post helpful, we’d love your support in continuing to provide important education like this. Make a donation today, volunteer with us, or share our posts in your support groups. Vulvar Fissures in General First of all, anyone can get vulvar fissures–they aren’t exclusive to people with vulvar lichen sclerosus. Many things can cause them, which we will highlight below. So, let’s review the basics of fissures first and dive…
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Vulvar Lichen Sclerosus and Fissures

Vulvar Lichen Sclerosus and Fissures

Introduction Today is part one of our 2024 series on vulvar lichen sclerosus (VLS) and fissures. Before diving into the science of VLS and fissures, though, I wanted to share a more personal post about my experience with fissures. This is a very vulnerable share, but I hope I can raise more awareness and help others by putting myself out there. My Long-Term Relationship with Fissures Fissures and I have been in a long-term, complicated relationship ever since I was 20. They first made their appearance after I had sex. Mid-sex, I remember feeling like I tore or something. I was confused. After, when I peed, I remember it stinging. At first, it would only happen sometimes. Sometimes, I would have sex and be fine; other times, I would have sex, and I’d end up with a fissure. However, as the years went on, my fissures became more of a…
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Recurrent Tearing and Lichen Sclerosus

Recurrent Tearing and Lichen Sclerosus

For today’s video, we are continuing our discussion of sexual health and lichen sclerosus and discuss recurrent tearing and lichen sclerosus. Tearing with sex may happen to some folks on occasion; for others, it can happen often. When folks keep experiencing tearing, this is called recurrent tearing. In this video, I talk about why LS skin is prone to tearing, which areas tend to tear more frequently, who tends to tear, and options to manage recurrent tearing. *Disclaimer: This video is for educational and entertainment purposes only. Please consult with your medical provider before making any changes to your health plan. Be sure to like this video and subscribe to our channel for more educational LS content. If this video was helpful to you, we’d love your support so we can continue providing important education like this. Make a donation. https://www.youtube.com/watch?v=dLUer7VCDhc&t=6s Important Links Get my FREE eBook on vulvar lichen…
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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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