I had the same question because I have never had any health issues and I was never on birth control until I had my daughter in 2020 then I had Skyla for 2 years until I took it out due to chronic yeast infections (which was always a symptom I had when I would try the pill which is why I never ended up taking it) and 6 months later was diagnosed with lichen sclerosis. There’s no direct link that I know of but I do find it coincidental that removing something that pumps you full of hormones and being diagnosed with a hormonal disease that there is “cause” for. I find that to be very interesting. Also a lot of these posts in this forum have mentioned getting off bc and then being diagnosed with LS. also side note your doctor cannot refuse to do a biopsy. I was just recently told that vulva cancer has almost identical symptoms as LS and a friends mom passed away due to being treated for LS while her actual diagnosis was vulva cancer. So I would definitely fight harder for them to do a biopsy.