I thought I'd share my experiences with LS really to find out if this might help or ring bells for anyone else using this forum.
I started experiencing terrible itching - initially mostly in the genital area but then it spread all over my body. I saw a skin specialist and was tested for alergies and I saw a gynaecologist (eventually). The gynae told me he thought I looked like I had LS, describing what he could see as 'loss of architecture' - without ever explaining really what he meant by this. He asked if I would permit him to take two biopsies (straight away) to check for LS. I agreed and the biopsies came back inconclusive but he told me I probably had LS and prescribed 'demovate' to help the itching.
It helped a little but it also burned really badly and i think now that it may have made my condition (whatever it is!) worse. I was also having trouble keeping a yeast infection at bay and kept having recurrant problems which didn't help with either the discomfort or pain. Eventually I was prescribed a daily antihistamine to help with general itching (all over) and this meant that I stopped itching at night. Things started to calm down a little but I was still assuming I had LS (and I might!) because so many of my symptoms matched what has been described by many on this site - tearing, fusing, itching, pain, etc. My sex drive was non-existant and I struggled emotionally for a long time. I tried the borax suggestion (afraid it hurt like hell and then scared me a bit) and bicarb (which was soothing but I think make the yeast infection worse).
Then I went back to my original doctor (who had been on sabatical) and she checked my notes, and carried out an internal examination and started asking questions and listening. When I explained that the gynae had told me I had 'loss of architecture' she was very concerned and told me no, I didn't, or at least not in any sense which would warrant an LS diagnosis. She also presribed me a treatment for thrush (which worked at last) and suggested that perhaps I didn't have LS but that the treatments I had been given were making the situation worse. My thrush went and the overall health of this part of my body seems to have stabalised for now. I still don't feel 100% but things are definitely better and easier to manage. I'm aware that this might just be a temporary respite but I wanted to pass on that it's worth checking some of the other possible causes of the itching first - especially before using something which might only make the symptoms worse.
I also think that in the early days when the itching was unbelievably bad that I might have caused the scarring or damage myself, just by scratching delicate skin. The daily antihistamines I am now on (Fexodenadine) have been a life saver for me.
Would be interested if this chimes with anyone else's experiences. Am also on a bit of crusade to get Gynaecologists (especially male ones) to be clearer in the terminology they use. ' Loss of architecture' really worried me and was never properly explained.
Hope this is helpful.