Lichen Sclerosus at the Dr. Fehmida Arif Clinic, Karachi

Lichen Sclerosus in Karachi

Relief and long-term care for a chronic condition that is too often missed. Confidential dermatologist-led diagnosis, treatment and follow-up.

Dermatologist-ledConfidentialLong-term planTopical plus laserRegular review
In 30 seconds

Is this the right service for me?

  • For persistent genital itching, soreness, white patches, tearing or pain with intimacy that has not responded to thrush treatment.
  • A private consultation confirms the diagnosis; treatment begins the same day with a plan you can follow at home.
  • Symptoms usually settle within weeks; long-term control and regular review protect the skin.
Overview

Diagnosed properly, managed for good.

Lichen sclerosus is a chronic inflammatory skin condition that most often affects the genital and anal skin. It causes itching, soreness, white thinned patches, tearing and, over time, scarring that changes the anatomy and can make intimacy painful. It is under-diagnosed, often mistaken for thrush, and it needs a dermatologist.

The clinic’s approach starts with a careful, private evaluation to confirm the diagnosis and grade the severity. Treatment is built around potent topical anti-inflammatory therapy, which controls the condition for most patients, with a maintenance plan to prevent flares. Where the skin has thinned or scarred, the clinic adds regenerative options such as PRP and the non-ablative Fotona laser protocol to restore comfort and skin integrity.

Lichen sclerosus is long-term, so the aim is long-term relief: controlled symptoms, protected skin and regular review, because untreated disease carries a small risk of skin cancer.

30 minFirst consultation
WeeksSymptoms settle
OngoingMaintenance plan
6 to 12 moReview interval
Lichen Sclerosus: a dermatologist's desk with a notepad and a plain tube of prescribed cream, a patient's hands folded on the desk, private
What it treats

What the programme addresses.

Good candidates

  • Anyone with persistent genital itching or soreness that thrush treatment has not fixed.
  • Women and men; the condition affects both, and children can be affected too.
  • Patients already diagnosed who want a long-term plan and regenerative options.
  • Anyone who wants care in a private, unhurried setting.

Not suitable for

  • There is no one it is not for; diagnosis is the first step for everyone.
  • Active infection is treated first, then the condition itself.
  • Laser options are not used in pregnancy.
  • Undiagnosed lumps or ulcers are assessed urgently, not treated cosmetically.
How it works

Confirm, control, protect.

01

Evaluation

A careful, private examination confirms the diagnosis and grades severity. A biopsy is taken only if the picture is unclear.

02

Control

Potent topical therapy with a clear schedule, plus a gentle skin routine. Most patients settle within weeks.

03

Protect and restore

A maintenance plan prevents flares; PRP or the Fotona laser protocol restores thinned or scarred skin. Review every six to twelve months.

Your sessions

From consultation to relief.

Day 0Private consultation

Diagnosis confirmed and treatment started the same day.

Weeks 2 to 6Symptoms settle

Itching and soreness ease as the inflammation is controlled.

Month 3Maintenance

A lighter schedule keeps the condition quiet. Regenerative options added if the skin needs them.

Every 6 to 12 monthsReview

Skin checked, plan adjusted, peace of mind.

Dr. Fehmida Arif
Reviewed by Dr. Fehmida Arif
"Lichen sclerosus is often treated for years as thrush. Once it is named and treated properly, most patients are comfortable within weeks."

Consultant Dermatologist and Laser Specialist. Over 35 years of dermatology, trained in Zurich, practising in Clifton since 1999. Page medically reviewed September 2026.

Questions patients ask

Lichen sclerosus, answered.

Straight answers from the clinic. If your question is not here, ask on WhatsApp.

Yes. Potent topical therapy under dermatologist supervision is the standard, evidence-based treatment, and the regenerative and laser options are non-ablative and gentle.

About thirty minutes, in private, with Dr. Fehmida.

None for topical therapy. Laser or PRP sessions may leave the area tender for a day or two.

Itching and soreness usually settle within two to six weeks of starting treatment.

It is a long-term condition, but it can be controlled so well that symptoms disappear and the skin is protected. Maintenance and review are what keep it that way.

No. It is an inflammatory condition, probably autoimmune. It is not an infection and not caused by anything you did.

Yes. It is most common in women but affects men and children too, and the clinic treats all.

Untreated, scarring can make intimacy painful. Treatment, and where needed the laser protocol, restores comfort for most patients.

Because long-standing, untreated disease carries a small risk of skin cancer. Review every six to twelve months catches any change early.

Completely. Consultations are with Dr. Fehmida in a private room, and WhatsApp enquiries are handled confidentially.

Book

A private consultation.

Book a confidential consultation with Dr. Fehmida. Message on WhatsApp or leave your number and the clinic calls you back discreetly.

Clinic

200/1 Clifton 1, Block 5, Clifton, Karachi. Monday to Friday 9:00 to 6:00, Saturday 9:00 to 5:00.

Speak to us

Call or WhatsApp 0301 827 9630

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