Lichen Sclerosus

Lichen sclerosus is a skin disorder affecting the genital and anal areas and is commonly seen in postmenopausal women. It often occurs due to genetic causes and hormonal changes. This condition presents with smooth, shiny white patches on the skin, making the skin thin, wrinkled, itchy, and bruised. It is diagnosed by doing a biopsy and physical examination. Topical corticosteroid ointments are used over the affected region in the skin.

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Why is Triamcinolone not treating a rash on the penis?

Query: Hi doctor, I have a rash on the head of my penis for around two months. They are purplish, sore and tender to touch. I have seen my primary care doctor and he was not sure about the condition and gave me Triamcinolone acetonide cream over two weeks ago. It has not helped. I was also tested recently...  Read Full »

Dr. Atishay Bukharia

Answer: Hi, Welcome to The condition you are suffering is not STD (sexually transmitted disease) for sure because none of the STD is present like this. There are three most common probability of your problem. Penile Lichen planus: It present in a similar manner with purplish color, itchin...  Read Full »

Some doctors say that I have lichen sclerosus, and some say I do not. What do I do?

Query: Hi doctor, I have been having some vaginal problems for the past five months, it started with a tiny tear at the bottom of the opening after sex, and it would recur every time by doing sex. I waited for a month, and it progressed into redness and inflammation around the opening and a sore vulva. It ...  Read Full »

Dr. Uzma Arqam

Answer: Hi, Welcome to First, be positive, and you will surely get rid of this issue soon. I have also seen your sent pictures (attachment removed for patient's identity protection). You have been on Tetracycline (an antibiotic that covers many infections) for acne. I am scared if you cont...  Read Full »

I have a white spot on the foreskin of my penis that is growing in size and becoming whiter. Why?

Query: Hello doctor, I have had a white spot on the foreskin of my penis for two years that is growing in size and becoming whiter. It is occasionally itchy, and the skin feels thin. However, there are no lesions, warts, redness, or irritation. I read online that it could be lichen sclerosus or vitiligo. ...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to I understand your concern. It is lichen sclerosus, an autoimmune condition that requires treatment. Initially, it is treated with a potent topical steroid. I suggest you apply Clobetasol Propionate 0.05 % ointment twice daily for 12 weeks. (Consult a specialist doct...  Read Full »

How to treat white, raised patches on my penis which is there for seven months?

Query: Hello doctor, I have a confidential problem. I have had a white, raised patch on the backside of my penis for seven months. I have tried Clobetasol Propionate 0.05 %, but it did not help.  Read Full »

Dr. Dilip Kumar Meena

Answer: Hello, Welcome to I understand your concern. It looks like you have lichen sclerosus, which is a chronic inflammatory condition of skin seen in both genders. It presents as glistening white patches on the skin over the genitals and is sometimes associated with redness and tightness of...  Read Full »

What is the reason for tightness and discoloration in the penis?

Query: Hello doctor, I have tightness in my penis, along with some discoloration on the penis head. I get wound sometimes. Also, I do not have the habit of masturbation, but there is some difference when I tried to check the changes. And the shape and size vary all the time.  Read Full »

Dr. Deepti Shukla

Answer: Hello, Welcome to From the history, it seems you have developed lichen sclerosis et atrophicus. In this condition, discoloration and tightness occur. Since when do you have this issue? Is it spreading? I need to see the discoloration so that I can assess. Please revert with a ...  Read Full »

What is the cause for black patches on the penis?

Query: Hello doctor, I have a black patch on my penis tip and no other issues. I thought it is normal and will go in some time, but it does not. Please provide some solution.  Read Full »

Dr. Deepti Shukla

Answer: Hello, Welcome to Do not worry. I will help you with your concern. Such black patches could be due to multiple causes like warts, moles, and many more. I need to see this patch to make a definitive diagnosis so I can suggest your treatment accordingly. Please revert with a photo. Do...  Read Full »

What is the worst progression of lichen sclerosus?

Query: Hello doctor, I have lichen sclerosus and some dark spots around my clitoris. I have noticed they have progressed, and I am concerned about vulval cancer. Please help.  Read Full »

Dr. Mavani Jimesh Himatbhai

Answer: Hello, Welcome to I have seen the pictures (attachment removed to protect patient identity), and nothing looks abnormal. If you have itching only, then you can use candid cream locally. It will be more helpful if you have a fungal infection. Drink more water as the urine should be...  Read Full »

Please suggest treatment for red and itchy skin around anus and vulva.

Query: Hi doctor, I have a really embarrassing problem. The skin around my vulva and anus is red and it keeps cracking or bleeding. The skin around my anus is also flaky and yellow in some places. It is itchy and is causing me serious embarrassment. It has started affecting me psychologically as it has bee...  Read Full »

Dr. Jyotisterna Mittal

Answer: Hi, Welcome to I have read your query in detail and viewed the attached pictures (attachment removed to protect patient identity) and do understand your concern. There is no significant erythema or discoloration appreciable in the attached picture, so that is a good indicator.   Read Full »

I have phimosis and my opening has increased to about 4 mm. Is this lichen sclerosus?

Query: Hello doctor, I have phimosis as long as I can remember. Around my 20s, my phimosis started getting worse, and my foreskin kept getting tighter to the point where the opening is now about 4 mm, and I have ballooning of the foreskin. I am 40 now and would like to get it treated once and for all. He...  Read Full »

Dr. Gajanan Shirpad Bhat

Answer: Hello, Welcome to I have gone through your case, and the following are my pointwise answers. 1. The progressive tightening foreskin is not always suggestive of BXO. Instead, gradual tightening is an age-related process when a male does not retract foreskin often and clean the undersurfa...  Read Full »

Is the infection on penis head Zoon's balanitis?

Query: Hello doctor, I have a severe infection on my penis head which I suspect (also confirmed by a doctor) to be Zoons balanitis. The infection has been for a year now. I am circumcised and this infection has been recurring for the past six years in the same area. The infection has eaten off whole skin ...  Read Full »

Dr. Rabia Anjum

Answer: Hello, Welcome to Can you send a picture of your lesion for proper diagnosis and treatment? Please avoid application of steroids over the area. It is good that you are circumcised.  Read Full »

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