Understanding and Treating Lichen Sclerosus et Atrophicus

Lichen sclerosus et atrophicus (LSA) is a chronic skin condition that often affects the vulva, causing discomfort and changes in the appearance and texture of the skin. While the exact cause of LSA is not fully understood, it is thought to be related to immune system activity and hormonal changes, making it important to seek proper treatment to manage symptoms and prevent further complications.

Symptoms and Diagnosis

Women with LSA may experience itching, soreness, and painful intercourse, along with white patches or thinning of the vulvar skin. Diagnosing LSA typically involves a physical examination and may include a biopsy to confirm the presence of the condition.

Treatment Options at G. DeAn Strobel, MD, PA

At G. DeAn Strobel, MD, PA, we offer a variety of treatments tailored to each patient's needs. The two primary treatments we recommend are testosterone therapy and the MonaLisa Touch laser.

1. Topical steroids Topical corticosteroids are commonly used as a first-line treatment for lichen sclerosus. These medications, applied directly to the affected area, help reduce inflammation, itching, and discomfort by suppressing the immune response that contributes to the condition. High-potency steroid creams or ointments can improve symptoms and slow down the progression of skin thinning. Regular use, especially during flare-ups, is often recommended to prevent scarring and further tissue damage. While effective for many, long-term use of steroids requires monitoring by a healthcare provider to avoid potential side effects, such as skin thinning or irritation.

2. Testosterone Therapy Research has shown that topical testosterone can be effective in improving the skin's texture and reducing symptoms in women with LSA. Testosterone implants (or pellets) provide a convenient, long-lasting method of delivering consistent hormone levels. These implants are placed under the skin, releasing small amounts of testosterone over time to promote skin healing and reduce irritation. Learn more here.

3. MonaLisa Touch Laser Another innovative option is the MonaLisa Touch, a fractionated carbon dioxide (CO2) laser treatment. This procedure works by stimulating collagen production in the vaginal tissues, which helps restore the skin’s elasticity and thickness. It’s non-invasive, with most patients experiencing minimal discomfort and returning to normal activities the same day. Learn more about the procedure on our MonaLisa Touch page.

Why Seek Treatment?

Untreated LSA can lead to scarring, discomfort, and even increase the risk of vulvar cancer. Early diagnosis and treatment are essential for long-term health and comfort. At our clinic, we focus on comprehensive care, combining hormone therapy with advanced treatments like the MonaLisa Touch to restore vaginal health and improve quality of life.

If you are experiencing any symptoms of LSA, please don’t hesitate to schedule a consultation at our clinic in Sherman, TX. We are committed to helping our patients find the relief they deserve.

Schedule Your Appointment Today

Contact G. DeAn Strobel, MD, PA, to explore your treatment options for LSA. Whether you're considering testosterone implants or the MonaLisa Touch, we’re here to guide you through the best solution for your needs.