Can trauma, allergic reactions, and hormonal fluctuations cause lichen sclerosus?

Hello,

Welcome to icliniq.com.

I have reviewed the details and the image (attachments removed to protect the patient's identity) provided by your end, and I understand your concern.

The issue you are experiencing is most likely lichen sclerosis. These are white patches that may be slightly thicker and asymptomatic on the affected area, and they can appear anywhere, but they are most commonly found in private areas. The exact cause is unknown, but several factors including trauma to the affected area, dryness, allergic reactions, post-inflammation, hormonal fluctuations, and family history of similar conditions may contribute.

The key is to keep the area moisturized to reduce their intensity. Lichen sclerosis is harmless and usually does not have a permanent cure. For a confirmed diagnosis, I highly recommend undergoing a dermatoscopic examination (which involves using skin testing equipment to closely examine the skin) and a procedure called skin biopsy to properly examine the cells under a microscope.

I suggest you take:

1. Glycerin cream: Apply this cream to the affected area once or twice daily as a moisturizer.
2. Desonide lotion: Apply a thin layer to the affected area at night, leave it overnight, and wash it off in the morning. Use for two weeks only.
3. Omega-3 supplement: Take after dinner daily for two months.
4. A skin biopsy is highly advised after consulting a doctor in person.

I would like to assure you not to worry. These conditions are common.

Thank you for using icliniq, and have a nice day.

Hello,

Welcome back to icliniq.com.

In some situations, the lesions may reduce with time without any treatment. However, keeping the area moisturized may help. In other situations, they may not completely disappear and may also cause recurrences if any of the mentioned triggers are present. Nonetheless, a skin biopsy will help in understanding the skin cells better, and therefore, including laser and other procedures may be considered for their removal.

I hope this helps you.

Take care.