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This classification was based mostly on the degree of anatomical changes within the genitalia which have been routinely used in our practice, as no validated tool has been developed so far. Similarly, the presence and severity of lichen sclerosus were recorded based on examiner assessment on a scale of 1 to 3, comparable to mild, moderate, and severe respectively. This classification was primarily based on the quantity of involved pores and skin, as no validated tools have been developed thus far, and it has been routinely used in our practice.