PICS .. Was told I had LS for almost a year, now different dr says chronic candida hypersensitivity?

Women's health
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Brief history, chronic itchiness not cured by OTC thrush treatment. Never any discharge. In September had a pinching feeling on side of vaginal wall during sex. Saw dr that month for itching, was told there was a lesion where I felt the pinching, she thinks I have Lichen Sclerosis. Swabbed the lump, negative for any STDs. Gave me steroid cream. (yes cream, I later learnt it should be ointment) Have had the same partner for 10 years. Saw dr yesterday as I was really itchy again and lump seems larger and more angry. She said it was ulcerated, got into a derm today , she said wasn't ulcerated, but the gland opening is prominent and she believes its a blocked duct. Got a referral from her to Gyno as I also have a prolapse and the gyno will deal with the duct too. She said I also have Chronic Candida Hypersensitivity which is causing the itching and said I will need to take an anti fungal until menopause (I'm 28) ..

The derm thinks its a blocked duct as the growth is next to the opening. But it really looks nothing like a blocked duct, its not under the skin like a blocked duct cyst is, its a growth off my skin like a wart and now Ive had 2 different diagnoses for my itchiness. I have fleshy growths around the duct opening on the other side too, and more flesh pieces that I think are hymenal tags. but these others do not hurt. I have only had sex about 4 times in the last year, and not for months now. The growths around the ducts have not always been there.

I'm hoping the gyno might have more of an idea. I was really hoping for a biopsy with the derm. Any suggestions? Ther derm did note that its very dry in that area and that I have fissures on my perineum. I'll attach a photo of the lesion in question. I have also posted this over on the Bartholins Board.

I have been in a monogamous relationship for 10 years now and they always automatically check for stds when I present and have always been negative.

Ive included a few photos. 1&2 close upof the fleshy growth. 3. The whole external area. 4. The inner labia 6.Another angle of the lump/ My prolapse was visible and looks awful so I scribbled it out to keep focus on the lump. 7.Another angle of the lump showing the protrusion.

Even if it is nothing, I dont like it, and it hurts so I would love them to remove it. Ive been told a few things now so I wish they would just biopsy it and let me know for sure.

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Haras, I don’t see any evidence of yeast infection, really not of lichen sclerosus either. Characteristically, it is whitened patches or lines. The fissures could be from dryness, what moisturizer are you using? It looks to me like a skin growth and I would find a gyno/dermo who would biopsy it. Don’t take no for an answer. Tell you to use a product for the next 40 years is irresponsible. Don’t believe it. Best of luck.

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I don’t use moisturise on my vulval area? I didn’t know I could, but I’m very sensitive to soaps (bad reaction when I decided to use soap on it once. Never again.)

I’m so frustrate I treated for one thing for a year, to be told its another and to treat it as something else for 30+years.

Candida Hypersensitiviy isn’t an actual yeast infection, apparently I’m allergic to the bug that causes a yeast infection, which is causing a dermatitis reaction. The bug is always there but diminishes after the drop in hormones after menopause (oestrogen apparently has an effect on candida) .. There’s not much about it online, and lots of sites I’ve found are sceptical about it.

I have noticed half of one labia is mostly gone, but I did sustain a labial tear during childbirth, so not sure if that’s the cause. I don’t recall what it looked like or even what side it was on.

I’m going to ask the gyno to remove it, as its hurts and gets in the way, pinches and hurts, even if it is just a large skin tag or polyp or something. Ive been told any time they remove something,it HAS to be sent to pathology. I have to pay for a biopsy, so if I want it, they shoud l just do it right? (I’m in Australia, pretty much everything is covered health wise by the gov, but specialist appointments usually cost. I had to pay $190 to see the derm, and I only get $76 back from the gov. If she did a biopsy it would cost another $100. I know its nothing to complain about compared to the US medical system, but I am quite poor and its a lot for me. I’ll need to pay that again for the gyno.