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Lichen Sclerosus (LS): What it is and How to Manage Symptoms

Lichen Sclerosus (LS): Apakah itu dan Cara Menguruskan Gejala

by Tara Langdale in Peduli

Apa itu?

Lichen sclerosus (LS) ialah keadaan kulit yang menjejaskan kulit alat kelamin, walaupun ia juga boleh menjejaskan kulit pada bahagian lain badan, seperti payudara, bahu, lengan atas dan belakang. LS menyebabkan tompokan putih muncul pada kulit, tetapi ini hanya cenderung untuk gatal di kawasan kemaluan. Ia boleh menjadi lebih teruk (atau malah dicetuskan oleh) geseran atau kerosakan kulit, yang dikenali sebagai 'tindak balas Koebner'.

Lichen sclerosus lazimnya memberi kesan kepada wanita selepas menopaus, tetapi kadangkala menjejaskan kanak-kanak dan lelaki juga. Malangnya tiada punca lichen sclerosus yang diketahui, tetapi sistem imun yang terlalu aktif dianggap sebagai punca yang paling mungkin.

LS selalunya memberi kesan kepada orang ramai selama beberapa tahun, tetapi gejala mungkin datang dan pergi dalam tempoh tersebut. Oleh kerana ia bukan jangkitan, anda tidak boleh menangkapnya atau menyebarkannya melalui hubungan seksual. Lichen sclerosus jarang turun temurun, tetapi ada keadaan di mana ia telah menimpa saudara-mara.

Mari kita lihat gejala dan rawatan LS:

Gejala lichen sclerosus di kawasan kemaluan

Lichen sclerosus biasanya menjejaskan vulva dan kulit di sekitar dubur.

  • Tompok putih kecil (yang mungkin bertambah saiz dan bercantum)
  • Tompok putih menjadi retak, sakit dan gatal
  • Kulit rapuh dan menipis
  • Kedutan atau penebalan kulit
  • Lepuh darah
  • Tisu parut atau kulit tegang di sekeliling vulva (jika rawatan tidak dijalankan)
  • Pengecutan vulva dan pintu masuk ke faraj (jika rawatan tidak dijalankan)
  • Seks yang menyakitkan (dispareunia)
  • Sakit ketika membuang air besar atau sembelit
  • Masalah kencing (atau memburukkan gejala akibat kebocoran air kencing)
  • Tidur terganggu (kerana gejala cenderung menjadi lebih teruk pada waktu malam)

Cara terbaik untuk menguruskan lichen sclerosus

Lichen sclerosus cenderung agak tidak selesa, dan sudah pasti boleh menyebabkan kekecewaan, kebimbangan dan kesusahan. Walau bagaimanapun, terdapat beberapa pilihan rawatan yang agak mudah yang boleh meredakan atau mengawal gejala, jadi anda tidak perlu panik jika anda fikir anda mengalaminya. Walaupun tiada penawar buat masa ini, berikut adalah cara terbaik untuk merawat gejala lichen sclerosus:

Senario terburuk (cth dengan mengetatkan dan parut), pembedahan boleh membahagikan perekatan atau membuka semula pintu masuk ke faraj. Walau bagaimanapun, sebagai langkah pencegahan, dilator faraj juga boleh membantu mengekalkannya pada kapasiti normalnya.

Beberapa perkara yang perlu dielakkan jika anda mempunyai LS:

  • Sabun dan mandian buih - gunakan pencuci emolien atau air ringkas sebagai ganti
  • Memakai seluar ketat atau bahan nilon
  • Menggunakan pad inkontinens atau pelapik jika boleh
  • Menggosok atau menggosok kawasan yang terjejas

Jika anda mendapati simptom anda tidak bertindak balas terhadap penyelesaian di atas, atau menjadi lebih teruk, anda harus berunding dengan pembekal penjagaan kesihatan anda. Ada kemungkinan (walaupun sangat tidak mungkin) lichen sclerosus boleh bertukar menjadi kanser kulit - jadi jika krim steroid tidak berkesan, atau anda mengalami kulit menebal atau ulser yang tidak akan beralih selepas beberapa minggu, adalah penting untuk mendapatkannya. mendaftar keluar.

Dilator Faraj boleh membantu dengan kesakitan penembusan semasa persetubuhan yang berkaitan dengan lichen sclerosis dengan meregangkan otot meregangkan tisu.

Jika anda berfikir untuk menggunakan dilator faraj untuk lichen sclerosus dan memerlukan sebarang bantuan, sila hubungi kami atau lihat di sekitar tapak, kerana kami mempunyai begitu banyak maklumat yang direka untuk memaklumkan dan membantu anda dalam mengendalikan keadaan kesihatan seksual anda . Kami di sini untuk membantu!

Pautan Berguna VuVa:

Bagaimanakah Dilator Faraj Neodymium berfungsi?

7 Sebab Faraj Ketat dan Cara Mengendurkan

Cara menggunakan Dilator Faraj

Cara Relakskan Otot Faraj, Vaginismus & Seks

Regangan Faraj - Mengekalkan Bentuk dengan Dilator

Adakah Dilator Benar-benar Berfungsi? Ya, dan Mereka boleh Meningkatkan Kehidupan Seks Anda!

Beli Dilator Faraj VuVa

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The North American Menopause Society. Genitourinary Syndrome of Menopause Position Statement. Menopause. 2020. Goldstein AT et al. Vulvodynia: Assessment and Treatment. Journal of Sexual Medicine. 2016.

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Why Is My Vagina Spasming

Why Is My Vagina Spasming? Understanding Pelvic Floor Muscle Twitches and What They Mean

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When people are stressed, the body tends to stay clenched up without realizing it, and the pelvic floor is no exception. Over time those muscles can get exhausted from always being “on,” which may lead to twitching, tightness, or random spasms. 4. Why do I get spasms after orgasm? That fluttering after orgasm is often just the pelvic muscles settling back down. They naturally contract during orgasm, so sometimes they keep twitching a little afterward while everything relaxes again. Usually it is harmless unless it turns painful or intense. 5. Can dehydration cause pelvic muscle spasms? Yeah, it can sometimes play a part. When the body is low on water or certain minerals, muscles tend to get irritated more easily. That does not just affect your legs or feet either, the pelvic muscles can react the same way with twitching or cramping. 6. What does a pelvic floor spasm feel like? For some people it almost feels like the muscles inside the pelvis suddenly tighten on their own, kind of like a charley horse but in a much more awkward place. 7. Can anxiety make pelvic floor tension worse? Definitely. Anxiety keeps the nervous system kind of stuck in alert mode, and the body reacts by tightening muscles without you meaning to. A lot of people carry that tension in their shoulders or jaw, but the pelvic floor can hold onto stress the same way. 8. Should I do Kegels for vaginal spasms? Not automatically. People hear “pelvic floor” and assume Kegels are always the answer, but if the muscles are already too tight, more squeezing can actually make things feel worse. Sometimes the muscles need help relaxing more than strengthening. 9. When should I see a doctor for vaginal spasms? Most mild spasms pass on their own, but if yours are lasting longer, happening often, or making the pelvic area feel sore or tight all the time, it makes sense to have someone evaluate it. 10. Can pelvic floor physical therapy really help? For a lot of people, yes, surprisingly well. Pelvic floor therapy is not just exercises, it is also learning how to relax the muscles properly, improve breathing patterns, and stop the body from staying tense all the time. Many people end up feeling much better once they understand what their muscles are actually doing.     Citations American Physical Therapy Association. (2023). Physical Therapy Guide to Pelvic Floor Dysfunction. ChoosePT. Harvard Health Publishing. (2023). Pelvic floor exercises for everyone. Harvard Medical School. Kaur, J., & Singh, P. (2023). Pudendal Nerve Entrapment Syndrome. In StatPearls. StatPearls Publishing. Lamont, J. A. (2020). Vaginismus. Canadian Medical Association Journal, 182(10), 1139-1144. Mayo Clinic. (2022). Genitourinary syndrome of menopause (GSM). Mayo Foundation for Medical Education and Research. National Institute of Health. (2024). Pelvic Floor Disorders (PFDs). Eunice Kennedy Shriver National Institute of Child Health and Human Development. Patel, P., Wiygul, J., & Goldstein, I. (2023). Female Pelvic Floor Muscular Anatomy and Function. The Journal of Sexual Medicine, 20(4), 285-294. Tamanini, J. T. N., Pallone, L., & Biondo-Simões, M. D. P. (2021). The influence of stress on the pelvic floor muscles. Revista da Associação Médica Brasileira, 67(1), 149-154. Thompson, J. A., O'Sullivan, P. B., Briffa, K., & Neumann, P. (2022). Altered muscle activation patterns in chronic pelvic pain. Journal of Electromyography and Kinesiology, 36, 1-8. Wallace, S. L., Miller, L. D., & Mishra, K. (2019). Pelvic floor physical therapy in the treatment of pelvic floor dysfunction in women. Current Opinion in Obstetrics and Gynecology, 31(6), 485-493.

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Why Are Tampons Uncomfortable

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The cotton just scrapes against dry skin, feeling scratchy or burning, and that gets worse if you are dehydrated or on meds like antihistamines. After having a baby or during breastfeeding, it can show up more too, around those hormone shifts. What I have heard helps is: Going for smaller tampons on those days Adding a bit of water-based lube to the tip Switching to pads when the flow is super light Forcing it in dry only irritates things further. Size Issues Then there is the size thing, where bigger seems better for leaks, but if it is too much for your flow, it presses against the walls and you feel stretched or crampy all day. The vagina is not some big empty tube, it is flexible but can get uncomfortable if something expands too fast. Signs the size might be wrong: Pain when sitting Pain when removing it Feeling pressure all day Remember, flow changes, so what works one day might not work the next. Insertion Angle Insertion angle is something nobody really explains well. People push straight up, but it should go more toward your lower back, like angling back. If you miss that, it hits this wall feeling, gets stuck, or does not go all the way, causing sharp pressure. Things that can help: Sitting with knees wide Putting one foot up Going slow instead of jamming it Stress and Tension That leads to anxiety, because if you are nervous, your pelvic muscles tighten without you noticing, making everything resist more. It is this loop where fear causes clenching, which causes pain, which builds more fear. Burning or tightness during insertion, that is often it. Deep breaths into your belly, letting it rise and fall slowly, relax those areas, and many people hold tension there without realizing it. Hymen Myths For virgins, myths about the hymen freak people out, like it will break or something, but it is just flexible tissue with a natural opening for blood. Tampons do not ruin anything, though worry can tighten muscles and amp up the hurt. Starting small, with lube and calm breathing, eases it in, and being a virgin does not change if it hurts or not really. When It Could Be Something More Sometimes though, ongoing pain points to bigger issues, not just nerves. Like: Vaginismus, where muscles spasm and block entry, feeling like a wall or severe burning Yeast infections or UTIs, which can make everything itchy and swollen Discharge or odor can also be clues something else is going on. Pelvic floor problems can cause: Constant pressure Cramps during sex Trouble with bowels Therapy fixes a lot of that. If tampons always burn sharply, or you cannot get them in, or there is weird swelling, see a doctor, because it is not embarrassing, it is your body signaling something. 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The first time can feel awkward or unfamiliar, sure, but it should not be intensely painful. A lot of the discomfort people feel comes from being nervous, rushing, or using a tampon that is too big to start with. Going slow and staying relaxed usually helps more than people expect. 8. Can the wrong tampon size cause cramping? It can, especially if the tampon feels too “full” for your body or flow level. Some people describe it as this dull achy pressure that sticks around while sitting or moving. Switching to a lighter absorbency often helps more than expected. 9. Should I stop using tampons if they always hurt? If tampon pain keeps happening over and over, it is probably not something you should keep forcing yourself through. Your body is usually trying to tell you that something is not working for it, whether that is dryness, muscle tension, or another issue entirely. Trying other period products or talking with a healthcare provider can honestly make a huge difference. 10. Can pelvic floor therapy help tampon pain? For a lot of people, yes. Pelvic floor therapy can help teach tight muscles how to relax again, which often makes tampon use, pelvic exams, and even sex feel much more comfortable over time. It is one of those things people rarely talk about, but it can genuinely help a lot.     Citations American College of Obstetricians and Gynecologists. (2023). Your First Period (Especially for Teens). Retrieved from https://www.acog.org/womens-health/faqs/your-first-period American College of Obstetricians and Gynecologists. (2022). Vaginismus. Retrieved from https://www.acog.org/womens-health/faqs/vaginismus American College of Obstetricians and Gynecologists. (2023). Dyspareunia: Painful Intercourse. FAQ020. Retrieved from https://www.acog.org/womens-health/faqs/dyspareunia-painful-intercourse Cleveland Clinic. (2023). Hymen. Health Library. Retrieved from https://my.clevelandclinic.org/health/body/22736-hymen Cleveland Clinic. (2024). Vaginismus. Health Library. Retrieved from https://my.clevelandclinic.org/health/diseases/15723-vaginismus Harvard Health Publishing. (2021). Vaginal dryness: Causes and moisturizing treatments. Harvard Medical School. Retrieved from https://www.health.harvard.edu/womens-health/vaginal-dryness-causes-and-moisturizing-treatments International Society for the Study of Women's Sexual Health. (2022). Pelvic Floor Physical Therapy. Retrieved from https://www.isswsh.org/ Lamont, J. A. (2020). Vaginismus. Journal of Obstetrics and Gynaecology Canada, 42(5), 612-617. Mayo Clinic. (2023). Menstrual cup: What you need to know. Retrieved from https://www.mayoclinic.org/healthy-lifestyle/womens-health/in-depth/menstrual-cup/art-20507577 National Health Service (NHS). (2022). How to use tampons, pads, period underwear and menstrual cups. Retrieved from https://www.nhs.uk/conditions/periods/sanitary-products/ Planned Parenthood. (2023). What's a hymen? Retrieved from https://www.plannedparenthood.org/learn/teens/ask-experts/what-is-a-hymen Rosenbaum, T. Y. (2022). Pelvic floor involvement in male and female sexual dysfunction and the role of pelvic floor rehabilitation in treatment: a literature review. The Journal of Sexual Medicine, 4(1), 4-13. U.S. Food and Drug Administration. (2023). The Facts on Tampons, and How to Use Them Safely. Retrieved from https://www.fda.gov/consumers/consumer-updates/facts-tampons-and-how-use-them-safely Women's Health Concern. (2023). Vaginismus. Retrieved from https://www.womens-health-concern.org/help-and-advice/factsheets/vaginismus/

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VuVa Pelvic Support Sets

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We create safe, effective products that truly work — designed to help you relax, restore balance, and feel good in your body again. Our VuVa® Pelvic Floor Support Sets gently calm nerves, ease tension, and support natural pelvic healing from the inside out.

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