Dr Selk Down There

04/13/2026

04/11/2026

I love this resource and ++ recommend if you have lichen sclerosus

Have you seen the LS guide?

Has lots of information, videos and leaflets to print out to take with you to help both you and your doctor with a symptoms checklist and treatment plan as well as a diagram of the v***a to help and also a flare checklist.

Below I have made it easier to find each section.

•What is LS - https://vimeo.com/1044752540

•Causes, symptoms and signs - https://www.lichensclerosusguide.org.uk/what-is-v***al-ls/

•Anatomy of the v***a - https://vimeo.com/1045687799

•Checking your own v***a - https://vimeo.com/1044751895

•Diagnosis, referrals, check-ups and support - https://www.lichensclerosusguide.org.uk/diagnosis-check-ups/

•Getting a diagnosis - https://www.lichensclerosusguide.org.uk/diagnosis-check-ups/

•Referrals to specialists - https://www.lichensclerosusguide.org.uk/diagnosis-check-ups/

•Who else can help?

•Check-ups - https://www.lichensclerosusguide.org.uk/diagnosis-check-ups/

•Vulval biopsies - https://www.lichensclerosusguide.org.uk/diagnosis-check-ups/

•Treatment of v***al LS - https://www.lichensclerosusguide.org.uk/treatment/

•Topical steroids - https://www.lichensclerosusguide.org.uk/treatment/

•Other treatments - https://www.lichensclerosusguide.org.uk/treatment/

•Everyday life with LS - https://www.lichensclerosusguide.org.uk/everyday-life-with-v***al-ls/

•Looking after your v***a - https://www.lichensclerosusguide.org.uk/everyday-life-with-v***al-ls/

•Relieving pain and discomfort - https://www.lichensclerosusguide.org.uk/everyday-life-with-v***al-ls/

•Sex and v***al LS - https://www.lichensclerosusguide.org.uk/everyday-life-with-v***al-ls/

•Your periods and LS - https://www.lichensclerosusguide.org.uk/everyday-life-with-v***al-ls/

•Clothing and LS - https://www.lichensclerosusguide.org.uk/everyday-life-with-v***al-ls/

•Exercise and LS - https://www.lichensclerosusguide.org.uk/everyday-life-with-v***al-ls/

•Emotional wellbeing - https://www.lichensclerosusguide.org.uk/everyday-life-with-v***al-ls/

•LS in the long term - https://www.lichensclerosusguide.org.uk/the-long-term/

•How LS can progress - https://www.lichensclerosusguide.org.uk/the-long-term/

•Treatment options if LS - https://www.lichensclerosusguide.org.uk/the-long-term/

progresses

•Vulval cancer and VIN - https://www.lichensclerosusguide.org.uk/the-long-term/

•The menopause and LS - https://www.lichensclerosusguide.org.uk/the-long-term/

•Incontinence and LS - https://www.lichensclerosusguide.org.uk/the-long-term/

•Other v***al conditions - https://www.lichensclerosusguide.org.uk/the-long-term/

•Pregnancy and birth - https://www.lichensclerosusguide.org.uk/the-long-term/

•Information for

Carers and partners - https://www.lichensclerosusguide.org.uk/information-for-carers-and-partners/

Healthcare professionals - https://www.lichensclerosusguide.org.uk/information-for-healthcare-professionals/

•Resources - https://www.lichensclerosusguide.org.uk/resources/

•PDF printouts - My Treatment Planhttps://bpb-eu-w2.wpmucdn.com/blogs.bristol.ac.uk/dist/4/1130/files/2025/01/LSGuide_Treatment_Plan_v1.0.pdf

Checklist of symptoms-https://bpb-eu-w2.wpmucdn.com/blogs.bristol.ac.uk/dist/4/1130/files/2025/01/LSGuide-Symptoms-Checklist_v1.0.pdf

Flare checklist -https://bpb-eu-w2.wpmucdn.com/blogs.bristol.ac.uk/dist/4/1130/files/2026/01/LS-Guide-Flare-Checklist-v1.0-.pdf

LS guide survey - https://www.lichensclerosusguide.org.uk/ls-guide-survey/



Please do share the website to other health groups /your GP practice etc

Website- https://www.lichensclerosusguide.org.uk/

04/10/2026

Cl****al adhesions are an under-recognized finding.

They occur when the cl****al hood becomes adherent to the g***s, often in the setting of inflammation.

Common causes include:
• Lichen sclerosus (most important to rule out)
• Chronic irritation
• Low estrogen states
• Other inflammatory skin conditions

They may be associated with changes in anatomy, discomfort, or difficulty with arousal. The impact on sensation is variable and still debated.

Often missed — but important to recognize.

👉 Follow for more evidence-based v***ar and women’s health tips.

***arhealth

04/03/2026

So excited to be on a panel with Jaclyn at the world congress to discuss social media and doctors and patients working together

04/01/2026

PRP is being marketed “down there” for things like lichen sclerosus and sexual dysfunction.

This comes up in clinic more and more, with patients asking about it.

The problem is that it sounds promising — but the evidence just isn’t there.

For lichen sclerosus, we already have treatments that are well studied and reduce long-term risk. Higher quality studies don’t support PRP use.

For sexual dysfunction, PRP hasn’t been shown in good quality studies to provide consistent benefit.

It’s also expensive, not standardized, and often marketed directly to patients.

This is where medicine and marketing start to blur — and that’s not good for patients.

I’m not a believer in selling “miracle cures.”

03/30/2026

The safest permanent birth control isn’t what most people think.

Between vasectomy and tubal ligation, vasectomy is generally the safer option.

It’s a simpler procedure, done under local anesthesia, with a lower risk of complications and a faster recovery.

Tubal ligation is still a safe and effective option — but it’s more invasive and usually requires an operating room.

Both work well.
But they’re not equal when it comes to risk.

If you’re deciding, this is an important part of the conversation.

03/30/2026

More data supporting HPV testing and self screening. Please advocate for it. It’s a safe option that many patients prefer to a pap. Just understand when your HPV test is positive we need to look at the cervix carefully for pre cancer/cancer and that involves a speculum (ie it feels like a pap)

Adding cytology to HPV screening (cotesting) offers little benefit over HPV testing alone for detecting cervical precancer in women 25–65, according to a large Canadian study in JAMA Network Open.

The findings come as US guidelines begin to incorporate home-based HPV testing and add to growing evidence that HPV testing alone provides comparable long-term reassurance—suggesting screening could be simplified without compromising safety. https://mdsc.pe/4dM1iuV