Lichen Sclerosus
Lichen sclerosus is a chronic skin condition that most often affects the vulva, causing irritation, itching, and skin changes that can worsen without treatment. While it is not contagious or life-threatening, early diagnosis and long-term management are important to protect your comfort, confidence, and vulvar health.
If you’re experiencing persistent vulvar itching or noticing changes in the skin, our team is here to help you find answers and relief.
What Is Lichen Sclerosus?
Lichen sclerosus is a long-term inflammatory skin disorder that causes thinning, whitening, and irritation of the vulvar skin. It’s most common in postmenopausal women but can affect people of all ages, including children.
The exact cause is unknown, but the condition may be linked to autoimmune activity, hormonal changes, or genetic predisposition.
Common Symptoms
Symptoms can range from mild to severe and often include:
- Persistent vulvar itching (often worse at night)
- Burning, soreness, or stinging
- Smooth white patches of skin
- Skin that tears or bruises easily
- Pain during sex (dyspareunia)
- Bleeding, cracking, or ulceration in advanced cases
- Narrowing of the vaginal opening over time
Some people may not have symptoms early on, but the condition can progress if untreated.
When to Seek Care
You should schedule an appointment if you notice:
- Ongoing vulvar itching or discomfort
- Pale or white skin patches on the vulva
- Skin that appears shiny, thin, or fragile
- Painful intercourse
- Any changes in the appearance or sensitivity of your vulvar skin
Early treatment can reduce symptoms, slow progression, and lower the risk of complications. It’s better to seek treatment when symptoms first occur for better outcomes.
Diagnosis
Lichen sclerosus is often diagnosed through a combination of:
- A detailed symptom history: when they started, if they’ve spread, any previous treatments, and the level of success from prior treatments
- Visual inspection of the vulva during a pelvic exam
- A skin biopsy (a small sample of tissue) to confirm diagnosis and rule out other conditions
We provide a gentle, respectful exam experience focused on your comfort and privacy.
Treatment Options
There’s no cure for lichen sclerosus, but it can be managed effectively with consistent care.
First-line treatment:
- Topical corticosteroids: A high-potency steroid cream applied regularly to reduce inflammation, relieve itching, and prevent tissue damage
Supportive care:
- Fragrance-free moisturizers or barrier creams to protect skin
- Gentle hygiene practices (no douching or scented soaps)
- Avoiding tight clothing or irritating fabrics (natural breathable fibers are best)
Long-term management:
- Ongoing use of steroid creams at lower maintenance doses
- Regular follow-up exams to monitor skin changes
- Biopsy of any suspicious or non-healing areas
In rare cases, lichen sclerosus can slightly increase the risk of vulvar cancer, which is why routine monitoring is important.
Emotional & Sexual Health Support
Lichen sclerosus can affect not only physical comfort but also self-image and intimacy. We offer support for:
- Pain with sex (and referrals for pelvic floor therapy if needed)
- Emotional well-being and body confidence
- Partner communication and relationship support
You deserve care that sees and supports the whole you, not just your symptoms.
Compassionate, Ongoing Care for Vulvar Health
Lichen sclerosus is manageable with early intervention and consistent treatment. Whether you’re newly diagnosed or have been living with symptoms for a while, we’re here to help you stay comfortable, confident, and well-supported.
Schedule an appointment today to discuss your symptoms and get expert care for lichen sclerosus.