@andwho - Just looking here at your most recent post, PLEASE seek out a gynecologist.

I do see a dermatologist for other skin issues, but in my 40+ years of staying on top of Lichen Sclerosus (LS) I have only found that my gynecologists were the medical professionals versed in the latest developments on LS. And, just for perspective, I have lived in at least 5 different states throughout my careers; what that means is, I could have run into quite a variety of gynecologists and expertise, but fortunately I always had consistent guidance that (as far as I could determine) was up to date on LS, and could recognize abnormalities and do a biopsy when there was any Q of concern.

I hope seeing a gynecologist is possible for you, and that you find one that you respect and are comfortable with.