Lichen sclerosus is a long-term skin disease that can cause itching, burning, tenderness and changes in skin appearance in the vulvar area. In addition to the treatment plan, daily care habits also help protect the skin.
The purpose of care is not to wash the area frequently to make it “cleaner.” On the contrary, it is important to protect the skin’s natural barrier and reduce irritating contacts.
How should cleaning be done?
The vulvar area can be cleaned gently and with warm water. Products such as soap, shower gel, bubble bath, perfumed wipes and deodorant can irritate sensitive skin. Unless your doctor recommends a different product, only gentle cleaning of the external area may be sufficient.
It may be more appropriate to clean gently by hand instead of scrubbing or using a washcloth during washing. Afterwards, the area should be dried with tampon movements; It should not be rubbed with a towel.
Which products should be avoided?
- Perfumed soap, gel and wet wipes
- Vaginal douche and scented sprays
- Peeling, powder and random creams
- Heavy detergent or softener residue
- Unnecessary use of panty liners
Not every product marketed as “natural” or herbal is safe for sensitive skin. It is important to consult your physician before using a new product, especially if there are open wounds or cracks.
Moisturizing and barrier support
A suitable emollient or barrier product recommended by the physician can help reduce dryness and friction on the skin. The product should be applied to clean and dry skin in the recommended amount.
The medicine prescribed by the doctor and the moisturizer are not the same thing. Prescription treatments, such as corticosteroids, should be used according to the prescribed dose and schedule. It is not right to stop the treatment suddenly when the complaint decreases or to change the dose on its own when it increases.
Laundry and clothing selection
Underwear that is breathable, does not squeeze and reduces friction may be preferred. Too tight pants, synthetic fabrics, and clothing that remains damp for long periods of time can increase irritation.
After exercising or sweating, it may be helpful to change wet clothes and gently dry the area. However, excessive cleaning and frequent clothing changes should not become a necessity.
What should be done when itching?
Scratching may provide short-term relief; However, it may cause cracks and irritation on the skin. If itching recurs, evaluation should be made for exacerbation, infection or another cause rather than just changing the care product.
The physician’s recommendation regarding cold application or prescribed treatment should be followed. Using any antifungal cream, cortisone or herbal products at home can mask the symptoms.
Which changes require control?
If there is a non-healing wound, bleeding, new thickening or hardness, persistent pain in a single point, crusting or rapid appearance change, a check-up should be planned. These symptoms do not always mean serious illness; but it needs to be evaluated.
Frequently Asked Questions
Can soap be used in lichen sclerosus?
Perfumed and harsh soaps may increase irritation. For cleaning, it is more appropriate to apply the gentle method recommended by your doctor.
Can moisturizer be used in lichen sclerosus?
Emollient or barrier products deemed appropriate by your physician can reduce dryness and friction. Not every product is suitable for sensitive skin.
Can cortisone cream be left on?
Prescribed treatment should not be discontinued or changed once the complaint subsides. The application plan is determined by the physician.
When is the wound important in lichen sclerosus?
If there is an area that does not heal, bleeds, thickens or changes its appearance, control should not be delayed.
References
This article has been prepared for general information purposes. It is not a substitute for examination, diagnosis or personalized treatment advice.
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