lichen sclerosus

Vulvar lichen sclerosus (VSL) is a chronic, progressive condition of the skin of the vulva and perineal area. It primarily affects women after menopause, although it can also occur in girls and younger women. The exact causes of LEV are unknown, but a combination of genetic, immunological, and hormonal factors are thought to play a significant role in its development.

Symptoms include:

  • White, thinned skin on the vulva and surrounding area.
  • Intense itching
  • Pain during sexual intercourse.
  • Bleeding after sexual intercourse.
  • Pain when urinating.
  • Cracked or fissured skin.
  • Bumps or blisters on the skin.
  • Shiny and smooth looking skin.
  • Changes in the shape of the vulvar lips.

LEV treatment This may include the use of topical corticosteroid creams to reduce inflammation and itching, as well as to help restore skin elasticity. Topical or systemic immunomodulatory medications may also be used to reduce inflammation and improve immune function. In severe cases, surgery or laser therapy may be required to remove scar tissue and restore vulvar anatomy.

It's important to emphasize that LEV treatment is a long-term process and may require a multidisciplinary approach involving gynecologists, dermatologists, psychologists, and physical therapists. Additionally, people with LEV should avoid using perfumed soaps, lotions, and hygiene products and wear cotton underwear to prevent irritation and further damage to the vulvar skin.