Lichen Sclerosus Treatment in Santa Barbara, CA
Lichen sclerosus (LS) is a chronic skin condition that primarily affects the genital and anal areas, causing significant pain, discomfort, and itching. Finding a provider who truly understands the condition is essential to getting effective, lasting relief. At Rashti Women's Care in Santa Barbara, CA, gynecologist Pedram Rashti, MD, and his experienced team have the training and expertise to diagnose and manage lichen sclerosus with the sensitivity and thoroughness it requires. Don’t put off seeking care — call today or book an appointment online.
Request an AppointmentWhat Is Lichen Sclerosus?
Lichen sclerosus is a chronic inflammatory skin condition most commonly affecting the vulva and perianal area. It tends to develop in postmenopausal women, although it can affect women of any age. The exact cause is not fully understood, but research suggests an autoimmune component — the body’s immune system may attack the skin of the affected area.
Without proper treatment, lichen sclerosus can progress, causing the skin to become thin, white, and scarred. In severe or untreated cases, it can lead to structural changes in the vulva, including narrowing of the vaginal opening, and is associated with a slightly increased risk of vulvar cancer. Early diagnosis and consistent treatment are key to preventing these complications.
Symptoms of Lichen Sclerosus
Common symptoms include intense itching in the genital area (often worse at night), white or patchy wrinkled skin on the vulva or perianal area, soreness, burning, or pain in the affected area, painful intercourse (dyspareunia), bleeding or tearing of the affected skin, and difficulty urinating in more severe cases. If you are experiencing any of these symptoms, it’s important to seek evaluation from an experienced OB-GYN rather than assuming they’ll resolve on their own.
Diagnosing and Treating Lichen Sclerosus
Lichen sclerosus is typically diagnosed through clinical examination and, when appropriate, a small skin biopsy to confirm the diagnosis and rule out other conditions. At Rashti Women's Care, Dr. Rashti will perform a thorough evaluation in a comfortable, judgment-free environment.
While lichen sclerosus does not currently have a cure, it can be effectively managed. The standard first-line treatment is a high-potency topical corticosteroid such as clobetasol propionate applied to the affected area. When used consistently and correctly, this treatment significantly reduces itching and discomfort, improves the appearance and texture of affected skin, prevents further scarring and structural changes, and reduces the long-term risk of vulvar cancer associated with LS.
In addition to corticosteroid therapy, we may discuss options such as topical calcineurin inhibitors or PRP injections for tissue regeneration, depending on your individual case. For women experiencing discomfort during intercourse due to lichen sclerosus, our sexual health services and vaginal rejuvenation treatments may also provide complementary relief.
Patients with lichen sclerosus benefit from ongoing monitoring, as the condition requires long-term management. To schedule an evaluation at Rashti Women's Care in Santa Barbara, CA, call (805) 682-7109 or request an appointment today.
Frequently Asked Questions About Lichen Sclerosus
What is lichen sclerosus?
Lichen sclerosus is a chronic inflammatory skin condition that affects the genital and perianal skin. It causes itching, pain, and skin changes including white patches, thinning, and scarring. It most commonly affects postmenopausal women but can occur at any age.
Is lichen sclerosus curable?
There is currently no cure for lichen sclerosus. However, with appropriate treatment — primarily high-potency topical corticosteroids — the condition can be effectively managed. Symptoms can be controlled, progression can be slowed, and the risk of complications can be significantly reduced with consistent long-term treatment.
Does lichen sclerosus increase the risk of cancer?
Untreated or poorly controlled lichen sclerosus is associated with a slightly increased risk of vulvar cancer. This is why regular monitoring and consistent treatment are so important. With proper management, this risk can be minimized.
Can lichen sclerosus affect sexual function?
Yes. LS can cause painful intercourse and structural changes to the vulva that may affect sexual function and comfort. These concerns can be addressed through treatment of the underlying condition and complementary options such as vaginal rejuvenation and sexual health counseling.
How is lichen sclerosus diagnosed?
Lichen sclerosus is typically diagnosed through a clinical examination. In some cases, a small skin biopsy is performed to confirm the diagnosis and rule out other conditions.
What does lichen sclerosus treatment involve?
The primary treatment is a high-potency topical corticosteroid applied to the affected area according to a specific regimen. Long-term follow-up is important to monitor the condition, adjust treatment as needed, and screen for any changes in the skin.
How do I schedule a lichen sclerosus appointment at Rashti Women’s Care?
Call Rashti Women's Care at (805) 682-7109 or request an appointment online. Dr. Rashti and our team will provide a thorough, compassionate evaluation and discuss all appropriate treatment options for your situation.