What is Lichen Sclerosus of the Vulva, and How Can You Treat It?

Lichen Sclerosus is a chronic skin condition that can affect both men and women, though it is more commonly seen in women, particularly in the vulvar region. It may present with symptoms like itching, discomfort, white patches, or red, inflamed skin around the vulva. If you’ve noticed any of these signs, a visit to our clinic to see one of our consultant gynaecologists can make a significant difference in getting the best treatment for your symptoms.

How Will You Know if You Have Lichen Sclerosus?

The symptoms of this skin condition (which can affect other areas of your body aside from your vulva) can vary, so an expert assessment and diagnosis is really important. You might have lichen sclerosus and experience relatively mild symptoms; or you might find that it’s noticeable all the time. Common symptoms can include:

• Pale or white skin patches – You might find these are lighter than the surrounding skin, and they may become more visible over time.
• Wrinkled or thin skin – Your skin might take on a different texture, and feel thinner than usual.  
• Persistent itching and soreness – If you’re experiencing intense itching and discomfort, this can often get worse without treatment.
• A burning sensation – It’s common to experience a burning feeling around the vulva, which is unpleasant, and sometimes constant.
• Red, shiny patches of skin – Inflamed areas can appear red and shiny, and are typically tender to the touch.
• Fragile or easily irritated skin – If your skin is feeling thinner than usual, it can be more fragile and more prone to little tears.
• Pain during sex – Due to your skin’s sensitivity, you might find sex painful, which can impact sensation, comfort and pleasure.

Even though these symptoms can suggest you have lichen sclerosus, only a doctor will be able to provide a proper diagnosis. If any of these symptoms are affecting your daily life, seeking help as early on as possible at our clinic can help to ensure you get the right care and treatment.

Is Lichen Sclerosus More Common During Menopause?

Yes, lichen sclerosus is most prevalent in women going through menopause. While it’s not fully understood why this is, many people believe hormonal changes play a role. During menopause, a decline in your oestrogen levels can lead to dryness and thinning of the skin, particularly around your vulva, making you more susceptible to issues like lichen sclerosus. Taking care of your overall wellbeing – including your vaginal and vulval health – and monitoring any changes can prompt you to seek help if necessary, and can have a positive impact on how you feel.

“We see women with lichen sclerosus most commonly in the menopause, but there are also women in their early twenties who have it – even though that’s far less common,” says Tania Adib, a Consultant Gynaecologist at our clinic.

What Causes Lichen Sclerosus?  

The exact cause of lichen sclerosus is not entirely known, but some research suggests that an overactive immune system may contribute to the condition, possibly reacting to the skin as if it’s a threat. Although this can sound worrying, it’s important to know that this response is not linked to hygiene, infection, or anything you’ve done wrong. Many skin conditions arise without a clear reason, and lichen sclerosus is one of these. The most important thing is that you get the help you need to manage the symptoms.

Is Lichen Sclerosus Contagious? 

No, lichen sclerosus is not contagious and cannot be transmitted through sexual contact or physical touch. Plus, it’s not caused by your personal hygiene habits. While certain skin conditions can be caused by external factors, lichen sclerosus is believed to originate within the body, and is possibly linked to immune or hormonal changes. If you have any skin symptoms in and around your vulva that are causing you concern, visiting our clinic can help to identify the exact issue, and guide you towards the appropriate treatment.

How Can You Treat Lichen Sclerosus?

First and foremost, a gentle vulval care routine is essential, especially when you’re experiencing discomfort or inflammation. Your vulval skin is often more sensitive than other areas of your body, so using mild, unfragranced product is key. Avoid soaps and astringent products and instead opt for emollient substitutes, which can cleanse and moisturise at the same time, without causing irritation. Your doctor may also prescribe a topical steroid cream, which can significantly reduce inflammation and soothe irritated skin.

Can MonaLisa Touch Laser Treatment Help with Lichen Sclerosus?

While topical treatments can relieve symptoms like dryness and itching, they may not address deeper skin changes associated with lichen sclerosus, particularly if you’re experiencing certain skin changes related to reduced oestrogen in the menopause.

Treatments such as the MonaLisa Touch laser have been shown to improve many women’s symptoms, by boosting hydration, elasticity, and blood flow in and around the vulva. We offer this non-invasive treatment at our clinic, which, among other benefits, aims to stimulate collagen production and improve tissue health.

Many women have found that vaginal laser treatment reduces symptoms of itchiness, discomfort, and soreness, and can even make sex feel more comfortable and pleasurable. In essence, MonaLisa Touch can help you feel more like yourself by restoring skin health and reducing uncomfortable symptoms.

Make an Appointment Today

If you would like to find out more about effective treatments for lichen sclerosus and other menopause-related conditions, please call 020 7244 4200 or make an appointment online.