Hello and welcome to HCM,
I can understand your problem.
As you have mentioned that your ovaries have been removed, this implies that the source of female hormones is removed from body.
The hormone replacement therapy
is replenishing the deficiency of estrogens and progesterones (female hormones) in the body.
Deficiency of these hormones cause dryness, atrophy
and thinning of external genitalia and vaginal wall.
The granulation tissue formation is likely to be because of hormone deficiency
You need to use topical estrogens to control these symptoms after complete removal of the tissue.Lichen planus
needs to be treated separately.
thanks and take care
Dr Shailja P Wahal