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Underwear options when lichen sclerosis flares

Autoimmune Diseases | Last Active: Nov 21, 2025 | Replies (61)

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While we're talking about underwear, I'm wondering if the fabric makes a difference? Is cotton a better choice than a synthetic material? And what about pantyliners? I have stress incontinence and urgency, so I always wear a pantyliners when I go out, but I'm trying to get away with not wearing one a few hours a day while at home because I'm wondering if it triggers or aggravates a flare-up. My diagnosis of lichen sclerosis is quite recent, but I've had symptoms for years without knowing what was going on. This forum is so helpful. I'm grateful for the support, understanding and good counsel I find here.

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Replies to "While we're talking about underwear, I'm wondering if the fabric makes a difference? Is cotton a..."

@patann Lichen sclerosus is an autoimmune condition that can be triggered by multiple factors. Have you been using a topical corticosteroid for treatment?

@patann, My Gyn told me to wear white cotton underwear. Yes, pantyliners are a big problem, but sometimes we have to wear them. When I am at home and it is not cold, I wear men's boxer shorts with skirts, size medium even though they are much too large for my small body. I had looked for leg warmers, but did not find them so I cut off the foot part of some long socks and use those when I just can't stand pants at home. The boxer shorts don't touch the sensitive area. I have been trying to figure out what to do when I go out and would like to wear pantyhose, but that is a problem because not only is this not good for the sensitive area, but my skin is so touchy that my legs often are itchy and do not like pantyhose nor tights. If anyone has found a solution to this problem, I would appreciate hearing about that. Perhaps there is another fabric for tights that will work. Yes, this forum is very helpful. Everyone is sharing what works for them with the hope that it will help others. LS is miserable and I am sorry you have it but I am sure you are glad you have a diagnosis. With all good wishes, @joybringer1.