Vulvar Lichen Sclerosus

Vulvar Lichen Sclerosus is a chronic, inflammatory skin condition that is often associated with scarring of the vulva and anus. It may affect up to 1 in 70 women. It is a likely autoimmune condition with a genetic component.

Although historically a condition of young girls (before puberty) or postmenopausal women, up to 40% of women with lichen sclerosus will start to show vulvar skin changes during their reproductive years (before menopause). These women may not have the characteristic symptom of vulvar itching that is more common after menopause (due to the lower estrogen).

Skin changes include a white appearance, thickening of skin, “shrinking” of the labia, concealment of the clitoris, or narrowing of the vaginal opening leading to tearing and pain with intercourse.

A vulvar biopsy is generally done to confirm the diagnosis. Treatment is with a high-potency topical steroid ointment. Most women will have to continue on a lower dose steroid for daily treatment to prevent recurrence.

If you think you could be suffering from this condition see your gynecologist so you can get some relief!

Here to help!

Dr. Erica and Dr. Jill (@jillkrapfmd)