I HAVE LICHEN SCELEROSA, AFTER YEARS OF DEALING WITH THE

I HAVE LICHEN SCELEROSA, AFTER YEARS OF DEALING WITH THE SYMPTOMS, THE SKIN BETWEEN THE VAGINAL AND RECTUM HAS THINNED. I AM HAVING GREAT DIFFUCULTY HAVE A BOWEL MOVEMENT THAT IS NOT VERY PAINFUL AND EVEN WITH THE USE OF LAXATIVES, STOOL SOFTNERS, MIRALAX. NONE SEEM TO HELP WITH THE PROBLEM. WHO SHOULD I SEE?