Lichen Sclerosus Treatment

Jul 04, 2024 Source: Cainiu Health
Disease description:

I have been experiencing severe itching in the genital area lately. After an examination, I was diagnosed with vulvar lichen. I would like to know what treatment options are available for vulvar lichen.

Doctor's answer (1)
Dr. Zhao Xiaodong
The main treatments for vulvar lichen include the following: 1. Medication therapy: Topical medications such as testosterone propionate cream, progesterone ointment, and retinoic acid cream can be used; these drugs help improve symptoms of vulvar lichen. Oral medications such as acitretin and vitamin E may also be used under a doctor's guidance. 2. Physical therapy: This includes liquid nitrogen cryotherapy and carbon dioxide laser treatment; these methods can effectively relieve itching and promote recovery of the affected tissue. 3. Surgical treatment: For patients with severe conditions or extensive vulvar atrophy, surgery may be performed to remove the affected or atrophic skin. Patients should also maintain cleanliness and dryness of the vulva, avoid wearing non-breathable synthetic fiber underwear, and reduce the intake of spicy and irritating foods to assist in treatment.