If you have signs and symptoms common to lichen sclerosus, make an appointment with your primary care doctor. Your doctor may refer you to a specialist in the diagnosis and treatment of skin conditions (dermatologist).
Here's some information to help you get ready for your appointment.
What you can do
Before your appointment make a list of:
- Your symptoms and how long you've had them.
- Your key medical information, such as other conditions with which you've been diagnosed and any prescription or over-the-counter medications you're using, including vitamins and supplements.
- Questions to ask your doctor.
Some basic questions to ask your doctor about possible lichen sclerosus include:
- What’s the most likely cause of my symptoms?
- What treatment approach do you recommend, if any?
- If the first treatment doesn't work, what will you recommend next?
- How much do you expect my symptoms will improve with treatment — and how soon?
- Will I need treatment for this condition for the rest of my life?
- What self-care steps can I follow to ease my symptoms?
- What can I do to help prevent a recurrence?
What to expect from your doctor
Your doctor is likely to ask you a number of questions, such as:
Sept. 03, 2015
- How severe is your discomfort?
- Have you noticed any bleeding?
- Do your symptoms include pain with urination or bowel movements?
- Do your symptoms include pain with sexual intercourse?
- Have you had any previous injuries to the affected area?
- What steps have you taken to treat this condition yourself?
- Have you had prescription treatments for this condition?
- Have you been diagnosed with any other medical conditions?
- Ferri FF. Lichen sclerosus. In: Ferri's Clinical Advisor 2016. Philadelphia, Pa.: Mosby Elsevier; 2016. https://www.clinicalkey.com. Accessed Aug. 12, 2015.
- Fistarol SK, et al. Diagnosis and treatment of lichen sclerosus. American Journal of Clinical Dermatology. 2013;14:27.
- What is lichen sclerosus? National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/health_info/Lichen_Sclerosus/default.asp. Accessed Aug. 12, 2015.
- Schlosser BJ, et al. Lichen sclerosus and lichen planus in women and girls. Clinical Obstetrics and Gynecology. 2015;58:125.
- Ofori AO, et al. What's new in dermatology? http://www.uptodate.com/home. Accessed Aug. 6, 2015.
- Murphy R. Lichen sclerosus. Dermatology Clinics. 2010;28:707.
- Chi CC, et al. Topical interventions for genital lichen sclerosus. Cochrane Database Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD008240.pub2/abstract. Accessed Aug. 7, 2015.
- Funaro D, et al. A double-blind, randomized prospective study evaluating topical clobetasol propionate 0.05% versus topical tacrolimus 0.1% in patients with vulvar lichen sclerosus. Journal of the American Academy of Dermatology. 2014;71:84.