While itching, burning skin conditions are always a nuisance, those that affect your most intimate areas are particularly distressing and uncomfortable. For women with lichen sclerosus, this can be a daily reality.
Lichen sclerosus is a chronic inflammatory skin disease that causes itchy, painful patches of thinning, discolored skin, typically on the genitals or anus. This condition affects both men and women, but it’s up to 10 times more common in women, especially after menopause.
At Evergreen Women’s Health in Vancouver, Washington, Cynthia McNally, MD and Cory Killeen FNP-BC are dedicated to providing expert care for women with lichen sclerosus and other vulvar conditions. Here, learn about what causes this sensitive health issue and the treatments available to help you find relief.
Lichen sclerosus often goes undiagnosed for years due to embarrassment and a lack of awareness about the condition. This silent burden can significantly impact your quality of life, causing discomfort, pain, and anxiety.
If you have lichen sclerosus, you may notice discolored, thin, or scaly-looking patches of skin on or near your vulva or anus. Less commonly, these patches can develop on the shoulders, back, torso, or upper arms. Other symptoms may include:
Lichen sclerosus causes thinning of the epidermis, which is the outer layer of skin, allowing inflammatory cells to invade the dermis, or deeper layer of skin. The inflammation can damage the skin’s collagen and elastin fibers, leading to symptoms like itching, burning, and blistering.
The exact cause of lichen sclerosus remains unknown despite ongoing research. Several factors may play a role in its development, such as:
Prior injury or trauma to the affected area may also trigger this condition, especially in individuals with a genetic predisposition. Lichen sclerosus isn’t contagious, and it can’t be spread through sexual contact.
Without treatment, lichen sclerosus can progress and cause more serious symptoms, such as pain during intercourse, urination, or bowel movements. It can also increase your risk of developing squamous cell carcinoma, a type of skin cancer.
Several treatment options are available for lichen sclerosus, depending on the severity of the condition and your individual preferences. In most cases, we prescribe a topical steroid ointment to relieve swelling and itching. We may also recommend one or more of the following treatments to reduce inflammation and improve skin thickness and elasticity:
While there’s no cure for lichen sclerosus, our team can help you effectively manage its symptoms with a personalized treatment plan. To prevent flare-ups and maintain optimal skin health, consider these helpful tips:
If you’re concerned about any new or recurring symptoms, our team can help you find answers and relief. Contact Evergreen Women’s Health to make an appointment today.
