Vulvar lichen sclerosus is a chronic inflammatory disorder of the vulva, which is progressive, of benign aetiology and manifests itself through symmetrical lesions that can extend beyond the groin. The condition can start in puberty and during or after menopause.
It can be caused by an autoimmune response, chronic inflammation, infection, repeated trauma, diabetes, or hormonal changes.
Skin related symptoms include itching of the vulva which progressively gets worse (interfering with sleeping patterns as this intensifies during the night), burning, stinging, pain, bleeding, and hair loss.
Urinary symptoms can also be experienced, frequently including recurring infections. In addition, anal discomfort, itching, and fissures are also common. Patients may have difficulty maintaining sexual relations due to a loss of sexual appetite and inability to achieve orgasms.
Clinical symptoms associated with the disease are:
- Erythema
- White patches or sores on inner and outer lips
- Thickening of the skin due to partial hyperkeratosis
- Receding inner lips
- Clitoral gland phimosis caused by fusing of the hood
- Changes in vulvar anatomy
In addition to the multiple treatment options available, we recommend various Erbium laser sessions together with corticoid therapy. Backed by solid scientific evidence, this approach synergises the treatment response and improves the patient’s quality of life.
