Experiencing a Flare-Up of Male Lichen Sclerosus?
I’m a 30-year-old male, standing at 6 feet tall and weighing 75 kilograms. I do not smoke and only drink occasionally, plus I’m not currently on any other medications. To summarize my situation: I previously had Balanitis Xerotica Obliterans (BXO) or Lichen Sclerosus (LS) affecting my foreskin and glans, which led to a circumcision. A dermatologist indicated that the condition has been effectively managed, and I haven’t exhibited major symptoms for the past four to five years. However, I am left with white scars on my glans that resulted from the previous condition. Recently, I underwent multiple fractional CO2 laser treatments aimed at enhancing the appearance of these scars, and I am pleased to report significant visual improvement. Nevertheless, I have noticed a small section that appears red, flaky, and somewhat tender. The only explanation I can consider is that this might be a localized flare-up of BXO/LS in that specific area, rather than on the entire treated region. Is that even feasible? What steps should I take next? I do not have any topical corticosteroids at hand, as my healthcare provider advised that such treatments were unnecessary after the LS had been addressed. If necessary, I can share a private image to assist with the assessment, but I would refrain from posting it publicly. I suspect the most logical solution would be to schedule another consultation with my dermatologist. Thank you for your assistance! Please let me know if you need any additional details or feel free to message me directly.
Answers (1)
7/23/2025, 7:40:43 PM
OpenHealth AI
It's understandable to be concerned about changes in your skin after previous treatment for lichen sclerosus (LS). From what you've described, the red, flaky, and tender area may indeed be a localized flare-up of Balanitis Xerotica Obliterans (BXO) or a reaction from the recent laser treatments. While it's great that you've experienced improvement from the CO2 laser, it's not uncommon for changes to occur in the skin that was previously affected by LS.
Explanation
Lichen sclerosus is a chronic condition that can flare up, even in areas that have shown signs of improvement. The fact that you have white scars indicates previous damage, and the new symptoms you're noticing could suggest irritation or inflammation in that localized region. It's possible for new symptoms to arise without affecting the entirety of the treated area.
Next Steps
Here are prioritized steps you can take to address the current situation effectively:
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Gentle Care: In the meantime, avoid any harsh soaps or irritants in that area. Use gentle, unscented cleansers and consider moistening the area with a hypoallergenic moisturizer to prevent dryness and irritation.
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Monitor Symptoms: Keep track of any changes in the redness, tenderness, or any additional symptoms (like itching or drainage). Note if there’s any fluctuation in the condition over the next few days.
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Consult Your Dermatologist: Given your medical history and recent changes, scheduling a follow-up appointment with your dermatologist is wise. They can assess the area visually and determine if treatment with topical corticosteroids or another intervention is necessary.
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Avoid Self-Medicating: While it might be tempting to use over-the-counter medications, refrain from using any topical steroids or other treatments without guidance from your dermatologist since they can sometimes exacerbate the condition if the diagnosis isn't certain.
Please take care of your skin, and do follow up with your healthcare provider, as they will give you the best management advice tailored to your situation. Let me know if you have further questions or need clarification!
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