Lichen Sclerosus
Lichen sclerosus is a chronic skin condition that most often affects the vulva, leading to itching, irritation, and noticeable skin changes. While it isn’t contagious or life-threatening, early diagnosis and ongoing treatment are essential to prevent scarring, discomfort, and complications. At Care for Womens Medical Group, we provide expert evaluation and compassionate management for patients across Upland, Rancho Cucamonga, Chino Hills, and Eastvale experiencing symptoms of vulvar irritation or skin changes.
What Is Lichen Sclerosus?
Lichen sclerosus is a long-term inflammatory condition that causes thinning, whitening, and irritation of the vulvar skin. It most commonly affects postmenopausal women but can occur at any age, including in children. The exact cause is unknown, though it may be linked to autoimmune factors, hormonal shifts, or genetic predisposition.
Common Symptoms
Symptoms can vary from mild to severe and may include:
- Persistent vulvar itching, often worse at night
- Burning, soreness, or stinging sensations
- Smooth, white, or shiny patches on the vulva
- Skin that bruises, cracks, or tears easily
- Pain during intercourse (dyspareunia)
- Bleeding or ulceration in advanced cases
- Narrowing of the vaginal opening over time
While some women may not have early symptoms, untreated lichen sclerosus can progress and cause permanent skin changes or scarring.
When to Seek Care
You should schedule an appointment with Care for Womens Medical Group if you notice:
- Ongoing vulvar itching or discomfort
- Pale or white skin patches on the vulva
- Shiny, thin, or fragile skin
- Pain during sex
- Any change in the appearance, texture, or sensitivity of your vulvar skin
Early treatment can reduce inflammation, prevent tissue damage, and lower long-term risks.
Diagnosis
Diagnosis typically involves:
- Symptom review: including when symptoms began, whether they’ve spread, and prior treatments used
- Pelvic exam: to evaluate the appearance and condition of the vulvar skin
- Skin biopsy: to confirm diagnosis and rule out other conditions
Our team provides respectful, gentle exams focused on your comfort, privacy, and peace of mind.
Treatment Options
While there is no cure for lichen sclerosus, consistent treatment can effectively control symptoms and prevent progression.
First-Line Treatment:
- High-potency topical corticosteroid creams to reduce inflammation and itching, restore comfort, and protect skin integrity
Supportive Care:
- Fragrance-free moisturizers or barrier creams to soothe and protect sensitive tissue
- Gentle hygiene practices (avoid douching, scented soaps, or wipes)
- Wearing loose, breathable clothing made from natural fibers
Long-Term Management:
- Maintenance use of low-dose topical steroids as directed by your provider
- Regular follow-up exams to monitor skin health and ensure stability
- Biopsy of any persistent or non-healing areas, as lichen sclerosus slightly increases the risk of vulvar cancer
Emotional & Sexual Health Support
Beyond physical symptoms, lichen sclerosus can affect confidence, intimacy, and quality of life. Our approach includes support for:
- Pain during intercourse and referrals for pelvic floor therapy
- Emotional well-being and body image support
- Communication guidance for intimate relationships
We believe care should address both physical comfort and emotional wellness.
Compassionate, Ongoing Care for Vulvar Health
Lichen sclerosus is a manageable condition with early intervention and consistent follow-up. Whether you’re newly diagnosed or managing chronic symptoms, we’re here to help you stay comfortable, confident, and in control of your health.
Schedule an appointment with Care for Womens Medical Group today to discuss your symptoms and receive expert, compassionate care for lichen sclerosus.