Definition
Lichen sclerosus is a chronic inflammatory skin condition that affects the vulva and, less commonly, the anus. It causes white, patchy areas of skin that can become thin, wrinkled, and itchy. The exact cause of lichen sclerosus is unknown, but it is thought to be an autoimmune disorder.
Lichen sclerosus can affect women of all ages, but it is most common in postmenopausal women. Symptoms can include:
- Intense itching, especially at night
- White patches of skin on the vulva
- Pain during intercourse
- Difficulty urinating
- Scarring in severe cases
Treatment
Treatment for lichen sclerosus focuses on relieving symptoms and preventing scarring. Options may include:
- Topical corticosteroids: These creams or ointments reduce inflammation and itching.
- Calcineurin inhibitors: These topical medications may be used in some cases, particularly when steroids are not effective.
- Surgery: In severe cases, surgery may be necessary to remove scar tissue or improve vulvar function.
Disclaimer: Please consult a dermatologist or gynecologist for diagnosis and treatment of lichen sclerosus.