Itching Down There? It Could Be Vulvar Lichen Sclerosus
Published: May 29, 2024
Vulvar lichen sclerosus can cause intense itching and discomfort in the genital area. Understanding the symptoms can help you recognize when to seek medical attention.
Contents
The Itch That Won't Quit
The hallmark symptom of vulvar lichen sclerosus is persistent, intense itching of the vulva. This isn't just a minor annoyance - it can be severe enough to disrupt sleep and daily activities. The itching may be accompanied by a burning or painful sensation, especially during urination or sexual intercourse.
Visible Skin Changes
As the condition progresses, you may notice changes in the appearance of your vulvar skin. It often becomes white, thin, and wrinkled, resembling tissue paper. The skin may develop cracks or tears easily. In some cases, small white patches or reddish areas may appear.

Impact on Sexual Function
Vulvar lichen sclerosus can make sexual activity painful or uncomfortable. The skin may tear easily during intercourse. In advanced cases, scarring can cause the vaginal opening to narrow, further complicating sexual function. These symptoms can significantly impact quality of life and intimate relationships.
Frequently Asked Questions
It can vary but is often persistent.
Yes, flare-ups and remissions are common.
Not always, especially in early stages.
Rarely, it can occur on other skin.
Don't Ignore These Signs
While discussing genital symptoms can be uncomfortable, it's crucial to seek medical attention if you experience persistent vulvar itching or skin changes.
References
- Cooper SM, Gao XH, Powell JJ, Wojnarowska F. Does treatment of vulvar lichen sclerosus influence its prognosis? Arch Dermatol 2004; 140:702.
- Renaud-Vilmer C, Cavelier-Balloy B, Porcher R, Dubertret L. Vulvar lichen sclerosus: effect of long-term topical application of a potent steroid on the course of the disease. Arch Dermatol 2004; 140:709.
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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