I have had lichen sclerosis for 10 years. I was finally diagnosed by the fourth gynecologist I found. I see her about every two months. My labia minor are all but gone. During my last visit, she took a vulva biopsy. I am awaiting results. My perineum and close by regions are covered in white. For now, I am to only apply Vaseline and still use Premarin twice weekly. At night I take 25 mg. of Amitriptylin. I tried the Mona Lisa, but only once. It is very expensive and not for me. I have come to the conclusion there is no hope for me. Sure, I have tried all the meds and compounded mixtures, but no help right now. @joybringer1