Lichen Sclerosus

Lichen sclerosus is a chronic skin condition that most often affects the vulva, causing irritation, itching, and visible skin changes that can worsen without treatment. Although it is not contagious or life-threatening, early diagnosis and long-term management are important to protect your comfort, confidence, and vulvar health.

At Legacy For Women in Henderson, NV, our experienced OBGYN team provides compassionate, expert care for women with lichen sclerosus. We help you manage symptoms, prevent complications, and support your overall well-being.

What Is Lichen Sclerosus?

Lichen sclerosus is a long-term inflammatory skin disorder that causes thinning, whitening, and irritation of the vulvar skin. It most commonly affects postmenopausal women but can appear at any age, including in children.

The exact cause is unknown, but research suggests it may be related to autoimmune activity, hormonal changes, or genetic factors.

Common Symptoms

Symptoms can vary from mild to severe and may include:

• Persistent vulvar itching, often worse at night
• Burning, soreness, or stinging sensations
• Smooth white or pale patches of skin
• Skin that tears or bruises easily
• Pain during intercourse (dyspareunia)
• Cracking, bleeding, or ulceration in advanced cases
• Narrowing of the vaginal opening over time

Some patients may not notice symptoms early on, which is why regular pelvic exams are important for early detection.

When to Seek Care

You should schedule an appointment at our women’s health clinic in Henderson if you notice:

• Ongoing vulvar itching or irritation
• Pale, shiny, or fragile skin on the vulva
• Painful intercourse or vaginal discomfort
• Changes in skin color or texture
• New sensitivity, bleeding, or skin tears

Early treatment can reduce discomfort, slow progression, and prevent long-term damage to the skin.

Diagnosis

Your OBGYN will begin with a detailed review of your symptoms and medical history, including when they began and what treatments you have tried. Diagnosis may include:

• Visual inspection: Careful evaluation of the vulvar skin during a pelvic exam
• Biopsy: A small tissue sample may be taken to confirm diagnosis and rule out other conditions

We take a gentle, respectful approach to ensure your comfort throughout the examination process.

Treatment Options

There is no cure for lichen sclerosus, but symptoms can be well-managed with consistent care and follow-up.

First-line treatment:

• Topical corticosteroids: A high-potency steroid cream is applied to reduce inflammation, relieve itching, and prevent tissue damage

Supportive care:

• Use of fragrance-free moisturizers or barrier creams to protect skin
• Gentle hygiene practices, avoiding douches or scented products
• Wearing loose, breathable cotton clothing to minimize irritation

Long-term management:

• Maintenance use of topical steroids as directed by your provider
• Regular follow-up visits to monitor skin changes
• Biopsy of any non-healing or unusual areas to rule out precancerous changes

While rare, untreated lichen sclerosus can slightly increase the risk of vulvar cancer, making long-term follow-up care essential.

Emotional and Sexual Health Support

Lichen sclerosus can affect physical comfort as well as emotional well-being and intimacy. Our team offers support for:

• Pain during sex, with referrals for pelvic floor therapy if needed
• Emotional and psychological support for body image and confidence
• Guidance for partner communication and relationship health

At Legacy For Women, we treat the whole person—not just the condition.

Compassionate, Ongoing Care for Vulvar Health

Lichen sclerosus is manageable with the right treatment and follow-up care. Whether you are newly diagnosed or have been living with symptoms for some time, our team at Legacy For Women in Henderson, NV, is here to help you stay comfortable, confident, and supported through every stage of care.

Schedule an appointment today to discuss your symptoms and begin a personalized treatment plan for lichen sclerosus.