Brief Answer:
A chronic skin condition , can be dealt with Doctor's help/ determination

Detailed Answer:
Hi XXXX,
Thanks for the query under HCM forum.
Lichen Sclerosis is a chronic skin condition leading to disastrous itching symptoms- which try to disturb your routine & psychology too. I understand your concern.
* Lichen sclerosis is a skin disorder with unknown origin- with possibility of being instigated by-genetic/autoimmune/infective ( bacterial or viral )/Lyme disease/low levels of estrogen.
It is more common in small girls around 7 years/ women after 60 years./ less common in male
* Symptoms are mainly due to sever itching resulting in scarring& thinning of skin -that causes difficulty in sex, urination, deification
* psychological symptoms include- feeling of isolation, loss of self image/esteem, hopelessness,anxiety, anger.-
* Treatment consists of -
a) - Local steroids,( Clobesterol propionate),
-Topical\lhormonal preparations,
- Injection of platelet Rich Plasma,
- Stem cells
- Calcineurium inhibitors( Tacrolimus)
b)psychological counseling / self help in form of respiratory exercises, meditation & positive thinking.
* Course of the disease
- In few cases it resolves automatically,
- Response to modern treatment is considerable,
-some times local disfigurement due to fibrosis ,
- cancer of vulva is seen in many cases. To prevent it-
- Regular medical check ups / biopsies/early detection & treatment is the way to escape the dangerous sequel of the disease.
* I would advice you to regularly visit skin specialists/oncologist/ and psychotherapist (as per need )& keep your self away from the ill effects of the condition.
** In short, though a tough disease to deal with , patients positive efforts,determination,modern medication, stem cell treatment bring ray of hope--to get relieved.,
I hope I have given you sufficient information you requested for.& you find it useful.Any follow up query is welcome.
Take care.
Thanks.

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