Hi,
I was reading your messages about LS and thought I would reply. I have LS and have been through many stages of it. By the time I was diagnosed, The pain and symptoms were so bad that I couldn't walk---and had to go to an emergency room. This is after years of Doctors saying it is yeast or Blah blah blah. Anyway, there have been times when it was very mild and my symptoms were very similar to the person who was complaining of the itching and white area. I just wanted to say to you that I understand you, but I also understand that woman, and it is just as frustrating (but not as painful). I would recommend a biopsy no matter what.
It feels better to know

I'd absolutely get a biopsy.

The longer you wait with LS, as I understand it, the worse the scarring can be...and once the damage is done, you either can't, or have a harder time fixing it.

I got morphea on my back, was reading on morphea and had a EUREKA moment, when the term lichen sclerosis came up with a list of symptoms.

Mine were tearing (think episiotomy) during sexual intercourse and itching around vuvla and anal areas.

Today is my first day of steroid creams, and in the 6 hours I have had them on, I have seen a color change from the white, the red part is still red, but the white part is now gone, surely that must be a good thing? Also I am itching like a son of a gun after applying it. I'm telling myself that is the ointment working...I hope it is.

I am scared to death! I actually feel quite sad and desolate...thinking I may lose my sex life. I will fight to keep it.

I wish you good luck...get to the doc and insist on a biopsy. My doc said she didn't see anything that even looked like LS...I insisted, and am glad I did. She said it is one of the earliest diagnoses she's had, which will be good in the long run for me being able to keep what I have. I'm sure hoping that's true.