Lichen sclerosus

Currently there are no screening guidelines or available screening tests for the asymptomatic population. As this is an underdiagnosed condition, some experts recommend that patients undergoing a routine dermatologic or gynecologic exam should be evaluated for early signs of lichen sclerosus. This screening can be performed by observation of the vulvar skin as part of a routine clinical exam, with no additional risks to the patient.​[13]Goldstein AT, Marinoff SC, Christopher K, et al. Prevalence of vulvar lichen sclerosus in a general gynecology practice. J Reprod Med. 2005 Jul;50(7):477-80. http://www.ncbi.nlm.nih.gov/pubmed/16130842?tool=bestpractice.com