Genital Lichen Planus

Genital lichen planus Oral lichen planus affects about 1 in 100 of all women nationwide, occuring most commonly in women between the ages of 50 and 60.. One in 4,000 women will have vulvar or vaginal lichen planus. About half of women who have oral lichen planus may have vulvar or vaginal lichen planus. However, dentists may miss this diagnosis because they don’t typically ask about genital symptoms. The most common site of lichen planus involvement is the mucosa of the mouth and gums.

What is Lichen Planus?

Lichen planus is an inflammatory autoimmune dysfunction of your skin and mucous membranes.  Lichen planus can affect your skin and sometimes the inside of your mouth. As a result, you are left with distinctive skin patterns as well as oral lesions. There is an assumed relationship between the skin and oral lesions caused by lichen planus; almost half of those affected with the oral version of lichen planus also have skin lesions. The onset of lichen planus can be slow or quick. Lichen planus is not a type of cancer, and it is also not an infectious disease. The most common form of lichen planus affecting the vulva and vagina is known as erosive lichen planus, or genital lichen planus.

What causes genital lichen planus?

Certain Drugs: Some people develop lichen planus after taking certain medications. These medications include drugs for high blood pressure, diabetes, heart disease, malaria, and arthritis. Antibiotics and anti-inflammatory painkillers can also sometimes cause lichen planus to show up.

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For your peace of mind, Top10MD Gynecologists’ credentials are validated yearly to verify medical licenses have no serious patient care sanctions, current Board Certifications in their given medical specialty, current DEA & DPS licenses, and malpractice insurance. A Top10MD has at least 5+ years experience or has performed 300+ procedures in their given specialty and a current Patient Satisfaction Score of 8.5 or higher.

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Symptoms of Lichen Planus

Genital lichen planusErosive lichen planus and vulvovaginal lichen planus both present difficult symptoms. The symptoms of all the different types of lichen planus are confusing and contradictory. Although many patients with vulvar lichen planus have it in their mouth and on their skin, it is possible that you could have the disease in one area without ever having a problem elsewhere on the body. When lichen planus is on the skin, it causes a rash of small purplish bumps on your arms, legs or back.

Erosive Lichen Planus

Glossy bright red erosions and ulcerations involving the skin of your vulva and vagina is a common symptom of erosive lichen planus. Similar to the way lichen planus leaves scarring inside your mouth and on your skin, erosive lichen planus may cause severe scars on your vulva. It can also cause severe erosion and scarring inside of your vagina, which can lead to the destruction and disintegration of the vagina. Vaginal involvement is reported in about 70% of cases of erosive lichen planus.

Vulvovaginal Lichen Planus

Symptoms of lichen planus on the vulva and vagina include:

If you are affected on your vulva and vagina by non-erosive lichen planus you will be confronted with the following symptoms:

If a physician examines your case of vulvovaginal lichen planus, he or she will note that the vaginal mucosa will easily bleed and tear while affected by this disease.

Diagnosing Genital Lichen Planus

Dermatologist, oral surgeons, and dentists are the most common type of doctor to diagnose lichen planus, mostly because it occurs inside or around your mouth. Genital lichen planus is most often diagnosed by a gynecologist. To test if your condition is genital lichen planus or lichen planus, a biopsy of a small amount of your tissues from your sores will be collected and tested to rule out a yeast infection, cancer, and other possible causes of your rash.

There are no guidelines to prevent genital lichen planus, other than avoiding any medications that may have triggered it in the past.

Treating Genital Lichen Planus

The known treatments for lichen planus are as follows:

FIND A TOP10MD GYNECOLOGIST NEAR YOU

There are thousands of Gynecologists to choose from; however, not all doctors are created equal. Gynecology takes the knowledge and finesse of an experienced Gynecologist. That’s why we’ve selected your city’s best Gynecologists – to make the decision process easier for you and your family.

For your peace of mind, Top10MD Gynecologists’ credentials are validated yearly to verify medical licenses have no serious patient care sanctions, current Board Certifications in their given medical specialty, current DEA & DPS licenses, and malpractice insurance. A Top10MD has at least 5+ years experience or has performed 300+ procedures in their given specialty and a current Patient Satisfaction Score of 8.5 or higher.

Take Control of Your Health & Schedule a Consultation Today!

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