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Lichen sclerosus vulvae


It is a chronic inflammatory disease of the vulva, of benign and progressive aetiology.

It is about symmetrical lesions and may extend beyond the inguinal crease. The onset of this disease may be at puberty and peri-posmenopause.

Its aetiology can be explained by autoimmune mechanisms, chronic inflammation, infections, repeated trauma, diabetes and hormonal disturbances.

The manifestation of their cutaneous symptoms are: itching vulvar that evolves from mild to severe (interfering with sleep as it worsens during the night), burning, stinging, pain, bleedingin addition to hair loss. Urinary symptoms that make it difficult to urinate are common, with frequent urinary symptoms such as recurrent urinary tract infections. Anal discomfort, pruritus and fissures may also occur at this level. Difficulty in sexual intercourse in these patients is associated with loss of sexual appetite and anorgasmia.

The accompanying clinical signs of vulvar disease are:

  • Erythema
  • Confluent whitish or leukoplakic plaques on labia minora and labia majora
  • Thickening of the skin due to partial hyperkeratosis.
  • Labia minora effacement
  • Phimosis of the glans of the clitoris by fusion of the clitoral hood
  • Distortion of the vulvar anatomy

We propose, as an adjuvant therapy to the multiple treatments that are applied, the addition of several sessions of laserlaser Erbium associated with corticosteroid therapyIt synergises the response of the treatment, improving the patient's quality of life, which has solid scientific evidence.