ADVERTISEMENT
ADVERTISEMENT

Q. Is lichen sclerosus a contagious disease?

Answered by
Dr. Muhammad Majid Hanif
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 08, 2016 and last reviewed on: Oct 09, 2018

Hi doctor,

I have been diagnosed with lichen sclerosus around my vulva a few months ago through biopsy. I am regularly using Dermol 500 lotion instead of soap to wash the area and applying Dermovate cream. However, I have developed a cut in the skin at the back of my vagina, which is not healing now. This is very painful to go to the toilet and also means that sex is definitely not possible. I have had this cut for about 10 days now. I have seen the GP who has simply given me Hydromol ointment and it still remains the same. In addition, my partner has also got a sore bit on his penis and we are wondering if the two could possibly be related. Could this be friction burns? My partner and I are 49 and 50. So, feel ridiculous to be having these issues and very frustrating. He is embarrassed to go to the doctors about his cut. I am unsure if it is my fault related to my condition or friction or something else. Is there any better medicated solution to aid healing rather than moisturizer based solutions? I have attached photos for your reference. Thanks in advance.

ADVERTISEMENT
#

Hi,

Welcome to icliniq.com.

I have thoroughly gone through your case and can well understand your genuine health concerns. Thanks for taking time to upload latest pictures (attachment removed to protect patient identity) of the lesions on both partner's genitalia.


The Probable causes:

Lichen sclerosus is a benign condition but it may also transform into squamous cell carcinoma if not treated properly.

Yes, penile lesion may be related to the vulvar lesion. But, lichen sclerosus is not a contagious disease. Did you get the biopsy of the lesions shown in the pictures, both your's and your partner's? If not, please get them tested.

You need not worry as all the symptoms are related to this disease. Sexual intercourse and urination problems are all due to this lesion and this is a real pain when a patient gets this kind of fissure along with itching of lichen. If not treated it may cause permanent scarring and that is very painful situation.

Investigations to be done:

Biopsy of the lesions on penis and vulva, highly recommended.

Probable diagnosis:

Lichen sclerosus.

Treatment plan:

1. Patient education, it is a long-term disease and may relapse even after total relief. You need to be very calm and consistent in treatment.
2. Hydrocortisone ointment (topical Clobetasol propionate) is the treatment of choice to reduce scarring and to get relief from fissuring. It will reduce progression of the disease.
3. Avoid scratching and keep the vulva and penis clean and dry.
4. If ever topical corticosteroid fails we add intralesional corticosteroids, or I usually go for a second line therapy as calcineurin inhibitors.

Preventive measures:

Stay away from sexual intercourse until you get symptom free.

Regarding follow up:

For further queries consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner

Hi doctor,

I am slightly confused as you confirm as my GP told me that lichen sclerosus is not a contagious one. Can you explain why you think my partner's lesion could be related to my condition?

#

Hi,

Welcome back to icliniq.com.

  • That is why I have asked you both to go for a biopsy to confirm the diagnosis.
  • It may be due to some other reason like an STD (sexually transmitted disease). It is highly recommended for both of you to go for detailed biopsy.

Revert back with the biopsy reports to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner



Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Why am I having pain in penis after masturbating?

.. is no external injury as well as internal injury (normal passage of urine) I feel the problem is with muscle damage rather than anything. The simple muscle injury can be dealt with analgesics such as Ibuprofen 400 to 800 mg to be taken two to thre...   Read full

What is causing burning pain in penis with yellow colored urine?

.. have acute urinary tract infection. For that, you can investigate with urine routine microscopic examination. If pus cells and bacteria present then urine culture can be done for further work up. It is advisable to drink lots of water and fruit ju...   Read full

I am suffering from eczema. There is redness in my cheeks. Using corticosteroid cream. Are there any side effects in using it?

Thank you doctor, I have discussed with you everything from the beginning. Kindly suggest the treatment of which doctor you think is better? Should I prefer the idea of laparoscopic ovarian drilling and then hysteroscopy for submucosal fibroid or t...   Read full

ADVERTISEMENT

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


JAK Inhibitors in Treating Rheumatoid Arthritis
Doctors mainly suggest JAK or Janus kinase inhibitors for patients with rheumatoid arthritis to ease their symptoms. Rea...  Read more»
Importance of Sex Hormones - Types, Functions, Normal Ranges, and Roles
Sex hormones are steroids produced in the body that control sexual development, pregnancy, and overall health. Read belo...  Read more»
Fallopian Tubes - Anatomy, Function, and Diseases Affecting It
Fallopian tubes are important structures of the female reproductive tract. This article discusses the same below.  Read more»

Ask your health query to a doctor online?

Ask a General Practitioner Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.