How is lichen sclerosus diagnosed by doctors?
Doctors diagnose lichen sclerosus based on a detailed history, examination of the skin, and sometimes a small biopsy to confirm the diagnosis. Early recognition is key to managing symptoms and preventing complications.
Detailed Medical Explanation
Diagnosis starts with a clinical examination, looking for typical signs such as white, shiny patches and thinning of the vulval or perianal skin. A detailed history about symptoms and onset is important. If there is doubt about the diagnosis, a small punch biopsy under local anaesthetic may be done to confirm it and rule out other conditions. Early diagnosis helps prevent scarring and potential malignant transformation. Further guidance is available from NHS and British Association of Dermatologists.
Clinical Context
Timely diagnosis is crucial for effective management. Women experiencing persistent vulval itching or skin changes should consult a specialist. Our clinic provides expert diagnostic services and follow-up: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
Diagnosis is clinical but may be supported by histopathology when necessary. National guidelines recommend referral to a specialist for uncertain or complex cases. See NICE BNF.