Lichen Sclerosus

Lichen sclerosus is a chronic inflammatory skin condition that most often affects the vulva, leading to itching, irritation, and skin changes that can progress without proper care. At Complete Care ObGyn, we provide compassionate evaluation, accurate diagnosis, and ongoing management to protect your comfort, confidence, and long-term vulvar health.

Although lichen sclerosus is not contagious or life-threatening, early treatment and regular monitoring are essential.

What Is Lichen Sclerosus?

Lichen sclerosus is a long-term skin disorder that causes thinning, whitening, and fragility of vulvar tissue. It is most common after menopause but can affect individuals of any age.

The exact cause is unknown, but contributing factors may include autoimmune activity, hormonal changes, or genetic predisposition.

Common Symptoms

Symptoms may be mild at first and worsen over time. Common signs include:

• Persistent vulvar itching, often worse at night
• Burning, soreness, or stinging
• White or pale patches of skin
• Skin that tears, bruises, or cracks easily
• Pain during intercourse
• Bleeding or ulceration in advanced cases
• Narrowing of the vaginal opening over time

Some patients have minimal symptoms early on, which is why evaluation of skin changes is important.

When to Seek Care

You should schedule an appointment if you notice:

• Ongoing vulvar itching or irritation
• Pale, shiny, or thinning skin
• Skin tearing or discomfort with daily activity
• Pain with intercourse
• Any new or worsening vulvar skin changes

Early diagnosis improves symptom control and helps reduce long-term complications.

Diagnosis

Diagnosis typically includes:

• A detailed review of symptoms and prior treatments
• Visual examination of the vulva during a pelvic exam
• Skin biopsy to confirm the diagnosis and rule out other conditions when needed

Exams are performed gently and respectfully, with your comfort and privacy as a priority.

Treatment Options

There is no cure for lichen sclerosus, but symptoms can be effectively managed with consistent treatment.

First-line treatment includes:

• High-potency topical corticosteroid cream to reduce inflammation, relieve itching, and prevent scarring

Supportive care may include:

• Fragrance-free moisturizers or barrier creams
• Gentle hygiene practices
• Avoiding tight clothing or irritating fabrics

Long-term management includes:

• Maintenance steroid therapy at lower doses
• Regular follow-up exams to monitor skin health
• Biopsy of any persistent or concerning skin changes

Because lichen sclerosus slightly increases the risk of vulvar cancer, routine monitoring is essential.

Emotional and Sexual Health Support

Lichen sclerosus can affect self-image, intimacy, and emotional well-being. We offer guidance and referrals for:

• Managing discomfort during intercourse
• Pelvic floor physical therapy when appropriate
• Emotional support and counseling resources

Ongoing, Compassionate Vulvar Care

Lichen sclerosus is manageable with expert care and long-term follow-up. Whether you are newly diagnosed or managing ongoing symptoms, our team is here to support your health at every stage.

Schedule an appointment to receive personalized care and long-term management for lichen sclerosus.