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What Is Lichen Sclerosus? The Rare Condition That Deserves More Attention

  • Writer: Miami Women's Center
    Miami Women's Center
  • Jan 6
  • 1 min read
his is a microscopic image of skin tissue showing changes associated with lichen sclerosus, a rare chronic skin condition that can affect the vulva and requires gynecological care

Understanding Lichen Sclerosus

Lichen sclerosus is a rare but chronic skin condition that primarily affects the vulva and genital area. While it can occur at any age, it’s most commonly diagnosed in postmenopausal women. Because it’s rare and sometimes mistaken for other conditions, many women suffer in silence before getting answers.


Symptoms to Watch For

  • Thin, white, patchy skin on the vulva

  • Itching (often severe, especially at night)

  • Pain or burning sensations

  • Tearing, bruising, or bleeding of the vulvar skin

  • Painful sex due to skin changes


Risks If Left Untreated

  • Skin scarring and narrowing of the vaginal opening

  • Painful intercourse or urination

  • Increased risk (though small) of vulvar cancer


Diagnosis and Treatment

Doctors typically diagnose lichen sclerosus through a physical exam and, in some cases, a biopsy. Treatment may include:

  • Prescription-strength steroid creams

  • Regular monitoring for cancer risk

  • Lifestyle adjustments to avoid irritation (like cotton underwear, unscented products)


If you’ve noticed skin changes or unexplained itching, call Miami Women’s Center at (786) 360-4334 for evaluation and treatment.

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