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Vulvar Lichen Sclerosus

A chronic inflammatory skin disease characterized by itching and thinning in the genital area.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Vulvar Lichen Sclerosus?

Lichen sclerosus is a chronic dermatosis with autoimmune mechanisms. It is most common in postmenopausal women but is also seen in prepubertal girls and young women. Characteristic 'figure-of-eight' whitening occurs in the vulvar, perineal and perianal area.

The disease typically presents with severe itching, burning, painful intercourse and, in advanced stages, distortion of the vulvar anatomy. Clitoral closure, labial fusion and narrowing of the introitus are important complications.

Although clinical appearance is the priority in diagnosis, biopsy is the gold standard. Highly potent topical corticosteroids (clobetasol propionate) are the first-line treatment. Long-term follow-up is important regarding vulvar intraepithelial neoplasia and squamous cell carcinoma.

Symptoms

Severe vulvar itching
Burning and pain
Porcelain-white skin plaques
Skin thinning and fragility
Pain during sexual intercourse
Loss of anatomical structures

Risk Factors

Female sex and postmenopausal period
Autoimmune diseases (thyroiditis, vitiligo)
Genetic predisposition
Traumatized areas (Koebner phenomenon)
Estrogen deficiency
Family history

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When persistent vulvar itching or burning occurs
  • When pain develops during sexual intercourse
  • When whitening of skin color is noticed
  • When vulvar anatomical changes begin
  • When the lesion grows despite treatment

Treatment Methods

01
Confirmatory punch biopsy
02
Highly potent topical corticosteroid
03
Emollients and gentle hygiene
04
Local estrogen (postmenopausal)
05
Regular follow-up and biopsy (for VIN/squamous carcinoma)
06
Surgery in case of anatomical distortion

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.