Lichen Sclerosus Diagnosis - How to Diagnose Lichen Sclerosus?

Lichen Sclerosus diagnosis

If you have symptoms of lichen sclerosus and are concerned, a medical evaluation is warranted in order to diagnosis this condition. The health care provider will perfrom a complete history and physical examination along with a comprehensive genital examination. If the diagnosis is in question, a vulvar biopsy is typically recommended.

A vulvoscopy may also be recommended, where the vulvar tissue is swabbed with a solution. The provider will then look at the skin with a machine called a colposcope that magnifies the skin. After this review, a biopsy may be recommended. Some of the skin changes that may be seen include redness, increased or decreased pigmentation, scaring and changes in the anatomy.

Some specialists may do some further genital testing including: vaginal pH to assess the acid base balance of the vagina, genital cultures to rule out sexually transmitted diseases, vaginitis and others may do a complete hormonal panel.

For a definitive diagnosis, a biopsy is warranted. After an informed consent form is completed, and the procedure is completely explained, a small area of the vulvar skin is cleansed and then injected with some local numbing medication. A small amount of vulvar tissue is then removed and sent to a special pathologist that specializes in dermatological conditions. A special analysis is performed on the tissue. Some providers will stitch up the small biopsy site, while others use other solutions to stop the bleeding.



Read more about symptoms affecting the vulva and vagina that may be causing discomfort or pain.

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Read more about vulvar and vaginal disorders that affect women and their quality of life.

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