It acts by reducing inflammation and helps relieving symptoms and in some cases, resolves the lesion, but androgenic side effects such as clitoral enlargement, hirsutism, acne vulgaris, and amenorrhea are common. Cryosurgery in the treatment of lichen sclerosus et atrophicus of the vulva. It may develop into cancer after many years.
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In boys and men, uncircumcised males are most at risk, because the condition generally affects the foreskin. The lesions associated with vulvar lichen sclerosus are not considered to be premalignant, but patients have an increased risk of developing squamous cell carcinoma SCC. If you have any of them, let your GP know.