Hi @willows - I just had (on 2/8/24) laser ablation surgery (using 'plasmajet technology') after a biopsy of 2 areas in January 2024 showed I have VIN II/III (vulvar intraepithelial neoplasia), a pre-cancerous condition,

I was diagnosed with Lichen sclerosus (LS) about 40 years ago, and have been following it ever since, using Chlobetasol propionate 0.05% (in the past few years, as it was recommended over the previous testosterone cream).

I am scared/concerned, but at least feel better that I am being seen by a gynecologic oncologist referred by my also excellent OB/GYN in the UPMC (Pittsburgh PA) system.

I am doing MUCH reading on it, only on academic/professional/governmental (NIH) sites, as much as I can access them as I am not a medical professional. But here on MayoClinicConnect is where I have found - thank goodness! (for a lot of my health concerns!) MUCH helpful, respectful and well-moderated information.

If I can provide more info - from my own experience - please let me know. I am awaiting the results of the 4 ("punch") biopsies taken before the Dr. applied the laser ablation in the operating room last Thursday.

Fingers crossed! But even then, this latest iteration of the LS journey to pre-cancerous VIN must be followed every 6 months for 5 years, with at first 2 check-ins post-surgery - one in one week (with the Dr's PA) and one in 2 weeks after (with the GynOnc MD herself).

Even though it's a 100-mile roundtrip, since I've moved out of the immediate Pittsburgh area, it's worth it, as long as the travel experience is safe.

Best wishes for you...