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your vaginal itching can be from low estrogen levels and vaginal atrophy. I know you are on the estrogen patch, but you may also benefit from vaginal estrogen creams and suppositories to help decrease vaginal itchiness and burning.
The exact cause of lichen sclerosus isn't known. An overactive immune system or an imbalance of hormones may play a role. overactive immune system can cauase ulcerative colitis as well.
herpes and the ovarian boarderline tumor are most likely not related
lidex is the steroid cream which should be used for just the lichen area.
i would try a vaginal estrogen cream.