Are You at Risk for Vulvar Lichen Sclerosus? Key Factors to Consider
Published: Sep 29, 2024
While the exact cause of vulvar lichen sclerosus isn't known, certain factors may increase your risk. Knowing these can help with early detection and treatment.
Contents
Age and Hormonal Status
Vulvar lichen sclerosus most commonly affects postmenopausal women, suggesting hormonal changes play a role. However, it can occur at any age, including in young girls before puberty. The hormonal fluctuations during menopause may trigger the condition in some women.
Autoimmune Connection
There's a strong link between vulvar lichen sclerosus and autoimmune disorders. Women with conditions like thyroid disease, alopecia areata, or vitiligo have a higher risk. This suggests that an overactive immune system may contribute to the development of lichen sclerosus.

Genetic Factors
There may be a genetic component to vulvar lichen sclerosus. Some studies have found it's more common in certain families. While having a relative with the condition doesn't mean you'll definitely develop it, it may increase your risk. Specific genes related to immune function might play a role.
Frequently Asked Questions
No, it can't be transmitted to others.
There's no clear link to childbirth.
No direct dietary link has been established.
No, it's not related to sexual activity.
Knowledge is Power
While you can't control all risk factors, being aware of them can help you stay vigilant about your vulvar health.
References
- Lee A, Bradford J, Fischer G. Long-term Management of Adult Vulvar Lichen Sclerosus: A Prospective Cohort Study of 507 Women. JAMA Dermatol 2015; 151:1061.
- Kirtschig G, Becker K, GΓΌnthert A, et al. Evidence-based (S3) Guideline on (anogenital) Lichen sclerosus. J Eur Acad Dermatol Venereol 2015; 29:e1.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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