Elsevier, a world-leading provider of scientific, technical and medical information products and services, announced today the publication of a clinical guide by the European Menopause and Andropause Society (EMAS) in its journal Maturitas on lichen sclerosus with summary recommendations.
Vulvar lichen sclerosus (LS) is a chronic inflammatory disease which affects genital labial, perineal and perianal areas, producing significant discomfort and psychological distress. The purpose of this clinical guide is to provide advice on early recognition and treatment to prevent delay in management. Women presenting with vulvar pruritus and pain should be examined by a health professional with expertise in vulvar skin disorders. First line treatment is a topical corticosteroid cream and calcineurin inhibitors are second line. Surgical management such as vulvectomy or cryosurgery is reserved for women with malignancy or post-inflammatory sequelae.