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Well, if you are looking for the specialist in that area, the type of doctor you would go to see is a gastroenterologist.
They are the specialist in the area of bowel issues, and can evaluate you for hemorrhoids, irritable bowel syndrome, and other issues related to constipation.
Lichen sclerosis in this area has been related to issues such as pruritis ani, anal fissures, and hemorrhoids -- so evaluation by the specialist would certainly be helpful to see if there are other therapies that can help. Generally, therapies such as steroid creams are usually the first line of treatment for the Lichen sclerosis.