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Increased blood circulate can also be liable for the significant improvement within the appearance of lichen sclerosus lesions. Mental health and quality of life have been assessed using the Patient Health Questionnaire (PHQ9) and the Health-Related Quality of Life-Short Form (SF12) respectively. Depression severity was assessed by summarizing the scores assigned to every class. Scores range between 1 and 27, with higher scores correlating with extra severe depression. The SF12 is a basic well being measure that assesses the influence of health on everyday life. The SF12 consists of eight domains and generates two separate summary scores, bodily practical scores (PCS), and mental function scores (MCS), every starting from 0 to one hundred.