Understanding Lichen sclerosus: Causes, Symptoms, and Management

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Lichen sclerosus

by Alike Medical Team ∙ Updated on June 13, 2023

General

Lichen sclerosus is a condition that causes patchy, discolored, thin skin. Anal and genital areas are usually affected. Lichen sclerosus can affect anyone, but postmenopausal women are at a higher risk. Sexual contact cannot spread the disease since it is not contagious.

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Signs & symptoms

There is a possibility of mild lichen sclerosus without any symptoms. Symptoms usually affect the genital and anal areas of the skin. It may also affect the back, shoulders, upper arms, and breasts. The following symptoms may be present: Patches of discolored skin that are smooth Patches of blotchy, wrinkled skin Scratching Feelings of soreness or burning A tendency to bruise easily Skin fragility Changes in the urethra (tube for urine flow) Open sores, blisters, or bleeding Painful sex

Diagnosis

By looking at the affected skin, your health care provider may diagnose lichen sclerosus. To rule out cancer, you may need a biopsy. If steroid creams don't work, you may need a biopsy. During a biopsy, a small piece of affected tissue is removed for examination under a microscope. Referrals may be made to specialists in skin conditions (dermatologists), female reproductive systems (gynecologists), pain medicine, and urology.

Treatment

The severity of your symptoms and the location of your lichen sclerosus determine your treatment. Itching can be eased, your skin can look better and scarring can be reduced with treatment. It is not uncommon for symptoms to return even after successful treatment. Lichen sclerosus is commonly treated with steroid ointment clobetasol If lichen sclerosus narrows the opening for urine flow, your health care provider may recommend circumcision.

Note

☝ We provide information on prescription and over-the-counter medicines, diagnosis, procedures and lab tests. This material is provided for educational purposes only and is not medical advice, diagnosis or treatment.

National Institutes of Health ∙ World Health Organization ∙ MedlinePluse ∙ Centers for Disease Control and Prevention

☝ All information has been reviewed by certified physicians from Alike

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