Lichen Sclerosus Care

Lichen sclerosus is a chronic skin condition that most often affects the vulva. While it is not contagious or life threatening, it can cause significant discomfort and impact confidence if left untreated. With proper care, symptoms can be effectively managed to prevent complications and protect long-term vulvar health. At Complete Care ObGyn, our Henderson OB/GYN team provides comprehensive care for lichen sclerosus with a focus on comfort, education, and ongoing support.

If you are experiencing vulvar itching, irritation, or skin changes, early evaluation can make a meaningful difference.

What Is Lichen Sclerosus?

Lichen sclerosus is a long-term inflammatory skin condition that causes thinning, irritation, and white patches of skin, most commonly around the vulva and anus. It occurs most often after menopause but can affect women of any age.

The exact cause is not fully understood, though it is believed to involve immune system changes and may be influenced by hormonal or genetic factors. Accurate diagnosis by a gynecologic provider is important to ensure appropriate treatment.

Common Symptoms

Symptoms may vary in severity and can include:

• Persistent vulvar itching or burning
• White, patchy skin that appears thin or wrinkled
• Pain during sex (dyspareunia)
• Tearing, cracking, or bleeding of vulvar skin
• Pain with urination or bowel movements
• Narrowing of the vaginal opening in advanced cases

Symptoms may come and go, but ongoing care is important even during symptom-free periods.

When to See a Provider

You should schedule an evaluation if you notice:

• Ongoing vulvar itching or discomfort
• Visible skin changes in the genital area
• Painful intercourse or skin tearing
• Symptoms that do not improve with over-the-counter treatments

Lichen sclerosus can sometimes be mistaken for yeast infections or dermatitis. A thorough exam is essential for accurate diagnosis.

Please let your provider know which over-the-counter treatments you have tried and whether they improved or worsened symptoms.

How Is Lichen Sclerosus Diagnosed?

Diagnosis typically begins with a pelvic exam to closely examine the vulvar skin. In many cases, the diagnosis can be made based on appearance alone. If needed, a small skin biopsy may be performed to confirm the diagnosis and rule out other conditions.

Treatment Options

Although lichen sclerosus is a chronic condition, it can be managed effectively. Treatment focuses on relieving symptoms, preventing flare-ups, and protecting the skin from long-term damage.

Common treatments include:

• Topical corticosteroids to reduce inflammation and control symptoms
• Moisturizers or emollients to soothe dryness and protect sensitive skin
• Topical calcineurin inhibitors in select cases
• Lifestyle guidance such as avoiding irritants, using fragrance-free products, and wearing breathable underwear

Many patients experience improvement quickly, though long-term maintenance treatment is often necessary.

Monitoring and Long-Term Care

Regular follow-up visits are important even when symptoms are controlled. Lichen sclerosus can increase the risk of scarring and, in rare cases, vulvar cancer. Ongoing monitoring allows for early detection of concerning changes.

During follow-up visits, your provider may:

• Assess symptom control and treatment response
• Check for skin thickening or scarring
• Evaluate any changes that may require biopsy

Open communication about symptoms, comfort, and sexual health is encouraged. Some patients also benefit from additional support such as sexual health counseling.

Supporting Quality of Life

Lichen sclerosus can affect intimacy and emotional well-being. In addition to medical treatment, care may include guidance for managing discomfort during sex, support for self-confidence, and referrals to pelvic floor therapy when appropriate.

You are not alone, and with proper care, many women experience significant relief.

Get the Care You Deserve

Lichen sclerosus is manageable with expert care and ongoing support. Early diagnosis and consistent treatment can help protect your comfort and long-term vulvar health.

Schedule an evaluation with Complete Care ObGyn in Henderson, NV to discuss symptoms and begin a personalized care plan.