Lichen Sclerosus
Lichen sclerosus is a chronic inflammatory skin condition that most often affects the vulva. It can cause itching, irritation, and skin changes that may worsen without treatment. Although it is not contagious, early diagnosis and long-term management are important for comfort and vulvar health.
MyObgyne provides evaluation and ongoing care for lichen sclerosus in San Tan Valley, AZ. If you are experiencing persistent vulvar itching or noticing changes in vulvar skin, our team can help you get a clear diagnosis and a treatment plan that supports long-term symptom control.
What Is Lichen Sclerosus?
Lichen sclerosus is a long-term skin disorder that can lead to thinning, whitening, and irritation of vulvar skin. It is more common after menopause, but it can affect people of any age.
The exact cause is not fully understood. Lichen sclerosus may be linked to autoimmune activity, hormonal changes, or genetic factors.
Common Symptoms
Symptoms can range from mild to severe and may progress over time. Common symptoms include:
- Persistent vulvar itching, often worse at night
- Burning, soreness, or stinging
- Smooth, pale, or white patches of skin
- Skin that tears, cracks, or bruises easily
- Pain during sex (dyspareunia)
- Bleeding, cracking, or ulceration in more advanced cases
- Narrowing of the vaginal opening over time
Some patients have few symptoms early on. Even when discomfort is mild, evaluation is important because the condition can progress if untreated.
When to Seek Care
Schedule an appointment with an OB-GYN in San Tan Valley if you notice:
- Ongoing vulvar itching or discomfort
- Pale or white skin patches on the vulva
- Skin that looks shiny, thin, or fragile
- Painful intercourse
- Any changes in the appearance or sensitivity of vulvar skin
Early treatment can reduce symptoms and help prevent scarring and tissue changes. Seeking care when symptoms first appear often leads to better outcomes.
Diagnosis
Diagnosis usually includes a symptom review and pelvic exam focused on vulvar skin changes. It helps to share when symptoms started, whether they have spread, and what treatments you have tried.
Evaluation may include:
- Visual examination of the vulva during a pelvic exam
- Skin biopsy to confirm the diagnosis and rule out other conditions when needed
We focus on a respectful exam experience with attention to comfort and privacy.
Treatment Options
There is no cure for lichen sclerosus, but symptoms and skin changes can often be controlled with consistent treatment and follow-up care.
First-line treatment:
- High-potency topical corticosteroid therapy used as directed to reduce inflammation, relieve itching, and protect tissue
Supportive care may include:
- Fragrance-free moisturizers or barrier creams to protect sensitive skin
- Gentle hygiene practices and avoiding scented soaps or douching
- Wearing breathable fabrics and avoiding tight clothing that increases friction
Long-term management may include:
- Maintenance dosing of topical steroid medication as recommended
- Regular follow-up exams to monitor skin changes and symptom control
- Biopsy of any suspicious or non-healing areas when indicated
In a small number of cases, lichen sclerosus can increase vulvar cancer risk. Routine monitoring supports early identification of concerning skin changes.
Emotional and Sexual Health Support
Lichen sclerosus can affect intimacy and emotional well-being. Care may include support for pain with sex and referrals for pelvic floor therapy when muscle tension contributes to discomfort. If symptoms are affecting confidence or relationships, we can discuss supportive resources as part of your care plan.
Compassionate, Ongoing Care for Vulvar Health
Lichen sclerosus is manageable with early intervention and long-term follow-up. Whether you are newly diagnosed or have been living with symptoms for some time, effective care can improve comfort and protect vulvar health.
For lichen sclerosus care in San Tan Valley, AZ, schedule an appointment with MyObgyne to discuss symptoms, evaluation, and treatment options.