Lichen Sclerosus Men

Understanding Lichen Sclerosus in Men

What Is Male Lichen Sclerosus?

Lichen Sclerosus is a chronic inflammatory skin condition that can affect men, particularly the genital region including the foreskin and glans of the penis. It results in thinning of the skin, which may appear white, shiny, and patchy. While it can affect people of any age, it’s more commonly diagnosed in uncircumcised men.

How Does It Affect the Penis and Foreskin?

In men, Lichen Sclerosus can lead to tightening and scarring of the foreskin (phimosis), pain during sexual activity, or difficulty urinating due to narrowing of the urethral opening. These symptoms can significantly impact quality of life, making early recognition and treatment crucial.

What Causes Lichen Sclerosus in Males?

Autoimmune Links and Other Risk Factors

Although the exact cause is unknown, Lichen Sclerosus is widely believed to be an autoimmune condition. This means the immune system mistakenly attacks the body’s own tissues. Other contributing factors may include hormonal imbalances, genetic predisposition, or chronic irritation due to poor hygiene or tight clothing.

Is It Sexually Transmitted?

No, Lichen Sclerosus is not a sexually transmitted infection (STI). It is not caused by bacteria, viruses, or fungi and cannot be passed through sexual contact. However, the discomfort and skin changes it causes can sometimes be mistaken for an STI, underscoring the importance of an accurate diagnosis by a specialist.

Common Symptoms of Male Lichen Sclerosus

Recognising Early Signs: White Patches, Itching, Tight Skin

The most recognisable early sign is the appearance of white, shiny patches of skin, often accompanied by itching or a burning sensation. Over time, the affected area may become thin, wrinkled, or scarred. Some men may also notice small cracks or bleeding in the skin, especially during sexual activity.

Painful Erections and Urination: When to Seek Help

As the condition progresses, men may experience painful erections, restricted foreskin movement, or difficulty passing urine. If you notice any of these signs, it’s essential to consult a medical professional promptly. Early intervention can help avoid complications and protect long-term sexual and urinary function.

How Is Lichen Sclerosus Diagnosed in Men?

Clinical Examination and Skin Biopsy

Diagnosis usually begins with a physical examination by a dermatologist or urologist. In many cases, a skin biopsy may be performed to confirm the diagnosis and rule out other conditions, such as lichen planus or penile cancer. This involves taking a small tissue sample from the affected area for laboratory analysis.

Why Delayed Diagnosis Is Common in Males

Unfortunately, many men delay seeking help due to embarrassment or lack of awareness. Symptoms may be misinterpreted as minor skin irritation or infections. Raising awareness of Lichen Sclerosus and its early signs is vital to ensuring timely, effective treatment and preventing avoidable complications.

Part 2: Risks, Treatments, and the P Shot

What Happens If Lichen Sclerosus Is Left Untreated?

Risk of Scarring, Phimosis, and Penile Cancer

Without treatment, Lichen Sclerosus in men can lead to irreversible damage. The skin may become severely scarred, resulting in phimosis (a tight foreskin that cannot be retracted), which can hinder sexual activity and urination. In rare cases, long-term inflammation may increase the risk of developing penile cancer. This is why early diagnosis and intervention are critical.

Conventional Treatments for Lichen Sclerosus in Men

Topical Steroids and Emollients

The first-line treatment for male Lichen Sclerosus is usually a high-potency corticosteroid cream. These help reduce inflammation, ease itching, and restore skin integrity. Emollients or moisturisers are often used alongside steroids to maintain hydration and protect the skin barrier.

Circumcision as a Last Resort

In cases where topical treatments are ineffective, circumcision may be considered—particularly if the foreskin is heavily scarred or causing functional problems. While this can offer symptom relief, it is a surgical solution and does not address underlying inflammation or tissue degeneration.

The P Shot: A Regenerative Treatment for Male Lichen Sclerosus

How the Priapus Shot Works

The Priapus Shot (P Shot) uses Platelet-Rich Plasma (PRP) derived from the patient’s own blood. The PRP is carefully injected into targeted areas of the penis to stimulate healing, collagen production, and improved blood flow. This regenerative technique is gaining attention as a promising option for treating chronic genital skin conditions like Lichen Sclerosus.

PRP and Tissue Healing for Genital Skin Conditions

PRP contains growth factors that encourage the repair of damaged tissue, increase elasticity, and improve skin texture. For men with Lichen Sclerosus, the P Shot may help reverse some of the scarring, alleviate discomfort, and restore healthy skin function in the genital area.

Can the P Shot Help with Lichen Sclerosus in Men?

Supporting Collagen Growth and Reducing Scar Tissue

The P Shot’s ability to stimulate collagen makes it ideal for treating scarring and skin thinning. In Lichen Sclerosus, this means the skin can become more resilient and supple. Many patients report reduced tightness, less cracking, and a noticeable improvement in texture after treatment.

Restoring Sensitivity and Skin Integrity

By improving blood flow and nourishing tissue, the P Shot may also help restore sensitivity lost due to chronic inflammation. This can positively impact sexual performance and comfort. Because the PRP is autologous (from the patient’s own blood), it carries minimal risk and is a well-tolerated option for men seeking long-term relief from Lichen Sclerosus symptoms.

What to Expect During and After the P Shot

Treatment Time, Pain Levels, and Downtime

The P Shot procedure is relatively quick and minimally invasive. Most sessions take about 30 minutes and are performed in a clinical setting. A numbing cream is applied to ensure patient comfort during the injections. Most men report minimal pain, and there’s no need for general anaesthesia.

After the treatment, you may resume normal activities immediately. Some men experience slight swelling, redness, or sensitivity, but these effects typically subside within 24 to 48 hours.

Realistic Results: Before and After Outcomes

While individual responses vary, many patients begin to notice improvements in skin texture, elasticity, and sensitivity within a few weeks. Full results generally appear after a few months, especially with follow-up sessions. Photos and testimonials show enhanced penile skin tone, reduced scar tissue, and improved comfort.

Is the P Shot Safe for Men with Lichen Sclerosus?

FDA-Approved Centrifuge and Safety Profile

At Elite Aesthetics, we use an FDA-approved centrifuge system to extract high-quality PRP from your own blood. This ensures a sterile, potent preparation, optimised for healing and regeneration. Because the P Shot uses your own cells, the risk of allergic reactions or complications is minimal.

Minimal Risk of Side Effects

Most patients tolerate the treatment well. Side effects, if any, are mild and temporary. There is no risk of disease transmission, and because there are no synthetic chemicals or fillers involved, it’s a safer alternative to invasive procedures or long-term steroid use for managing Lichen Sclerosus.

Lifestyle and Diet Changes That May Help

Foods to Avoid (Gluten, Sugar, Alcohol)

Many patients with chronic inflammatory conditions, including Lichen Sclerosus, report improvement when avoiding common dietary triggers. Reducing or eliminating gluten, processed sugar, and alcohol may help reduce flare-ups and support immune regulation.

Supplements for Skin and Immune Health

Supplements such as omega-3 fatty acids, vitamin D, and zinc may support skin healing and immune modulation. Always consult with a healthcare provider before starting new supplements, especially if you’re undergoing medical treatment for LS or other conditions.

Managing Intimacy and Relationships with LS

Communication with Partners

Living with Lichen Sclerosus can have emotional and relational impacts, particularly when it comes to intimacy. Open and honest communication with your partner is essential. Explain what you’re experiencing and how it affects your comfort and confidence. Mutual understanding fosters emotional closeness, which can ease tension during intimate moments.

Psychological Support for Men

Chronic conditions like LS can take a toll on mental health, leading to anxiety, embarrassment, or even depression. Speaking with a therapist or joining support groups for men with similar experiences can help you process emotions and regain a sense of control and resilience.

Can Lichen Sclerosus in Men Be Cured?

Long-Term Remission Is Possible with Combined Treatments

There is no definitive cure for Lichen Sclerosus, but long-term remission is achievable. Combining medical-grade topical treatments with regenerative therapies like the P Shot, and maintaining consistent skincare routines, has helped many patients remain symptom-free for extended periods. Early diagnosis and proactive treatment are key to long-term success.

Before and After Treatment: What Real Patients Report

Symptom Relief and Skin Texture Improvements

Patients treated at Elite Aesthetics frequently report dramatic improvements in their skin’s appearance and comfort. Common outcomes include smoother skin, less irritation, and a significant reduction in symptoms such as tightness, dryness, and painful erections.

Patient Stories from Elite Aesthetics

Many of our patients have shared their journeys—from initial struggles and misdiagnoses to the confidence they’ve regained post-treatment. These stories highlight the power of individualised care, professional expertise, and innovative therapies like the P Shot in restoring comfort and quality of life.

Why Choose Elite Aesthetics for Male Lichen Sclerosus?

Expertise of Dr Shirin Lakhani

Dr Shirin Lakhani is a leading expert in regenerative medicine and intimate health. With years of experience treating Lichen Sclerosus in men, she combines clinical excellence with a compassionate approach to care. Her expertise ensures that every patient receives a tailored, results-driven treatment plan.

Unique Use of the P Shot

Elite Aesthetics is one of the few UK clinics to combine the P Shot with advanced skin regeneration treatments like Morpheus8. This multi-modal approach targets both symptom relief and long-term skin health offering results beyond what conventional treatments can achieve.

FAQs About Lichen Sclerosus in Men

Can You Live a Long Life with Lichen Sclerosus?

Yes. Lichen Sclerosus is a chronic condition, but it is not life-threatening. With proper management and treatment, men with LS can live full, healthy lives. While symptoms may flare occasionally, consistent care and early intervention help minimise disruption and maintain quality of life.

Is Circumcision Always Required?

No. Circumcision is typically considered only when topical treatments fail or scarring is severe. Many men respond well to non-surgical treatments, including corticosteroids and regenerative therapies like the P Shot. The best approach depends on the individual’s condition and treatment goals.

What Is the Recovery Time for the P Shot?

Post-Treatment Timeline and Follow-Up Care

Most men experience minimal downtime after the P Shot. Mild swelling or sensitivity may occur at the injection site and typically resolves within 24–48 hours. You can return to normal activities straight away, although it’s advised to avoid sexual activity for 1–2 days. At Elite Aesthetics, we include two complimentary follow-up appointments to monitor progress and ensure optimal results.

Latest Advances in Male Genital Skin Treatments

PRP Therapy, Radiofrequency, and Beyond

In addition to the P Shot, new technologies such as Morpheus8 (radiofrequency microneedling) offer promising results for men with Lichen Sclerosus. These therapies work by stimulating collagen and enhancing skin structure, which can help reverse damage and improve comfort in the genital area.

Take the First Step Toward Relief

Book a Free 15-Minute Chat with Our Patient Coordinator

If you or a loved one are struggling with the symptoms of Lichen Sclerosus, know that effective, personalised help is available. At Elite Aesthetics, we specialise in treating intimate skin conditions with care, discretion, and advanced techniques.