How is lichen sclerosus diagnosed?
First, it is very important that you see your gynecologist if you are having new symptoms or suspect you may have lichen sclerosus. The diagnosis is often suspected by the appearance of the skin, however, a skin biopsy is necessary to confirm the diagnosis. Women with lichen sclerosus are more likely to develop vulvar cancer, thus it is very important that your physician monitors the area and performs a biopsy on any changing/suspicious lesions. Furthermore, if you do not treat lichen sclerosus, the condition can continue to worsen, causing permanent scarring of the vulva and introits (entry to the vagina), which can make sexual intercourse extremely painful, if not impossible. Even if you are not currently experiencing symptoms of Lichen Sclerosus, but have been diagnosed in the past, you want to seek treatment to prevent long term complications.