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Understanding Lichen Sclerosus (Anus): Symptoms, Causes, and Treatmen

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Lichen Sclerosus is a painful skin condition that causes chronic itchiness around the genitals. It is thought to affect around one in every 80 women and can often be confused with thrush because of the similarities in symptoms. 

But there are other areas that can be affected by lichen sclerosus, such as the anus, penis and vulva. 

Perianal lichen sclerous (anus) is very common amongst LS sufferers, and if you’re suffering from perianal lichen sclerosus and would like to understand the causes, symptoms and different treatment options, then this blog will provide the answers. 

What Is Lichen Sclerosus?

Lichen Sclerosus is a skin condition that affects the skin of the genitals. It appears as white spots and results in chronic itching, painful burning and scarring. 

It can affect both men and women. LS in men mostly affects the head of the penis and can also be present around the anus, but overall, women are more likely to suffer from Lichen Sclerosus. Anus and vulva are the most typical areas that it affects.

Your skin has several layers, and if you suffer from Lichen Sclerosus, the outer layer (the epidermis) becomes very thin, resulting in inflammatory cells that invade the next layer of skin (the dermis).

The dermis contains blood vessels, nerve endings, and hair roots, and when it becomes inflamed, it causes painful swelling and broken blood vessels. LS is not contagious and can not be transmitted sexually.  

What Causes Lichen Sclerosus (Anus) and Perianal Lichen Sclerosus?

The exact cause of Lichen Sclerosus isn’t understood, but it’s likely a combination of factors, including an overactive immune system, your genetic makeup, and previous skin damage or irritation.

Your age and gender can also be a factor in having perianal Lichen Sclerosus (anus, vulva or penile), and it most commonly occurs after menopause. It is thought that lower oestrogen levels could be a cause in triggering different areas such as the anus and vulva. 

Studies show that it appears to be more common amongst women with auto-immune illnesses such as thyroid problems or ulcerative colitis.

What Are The Symptoms Of Lichen Sclerosus – Anus or Vulva?

Whether you have Lichen Sclerosus anus or Lichen Sclerosus vulva, your symptoms might include:

  • White patchy skin
  • White spots
  • Blotchy, wrinkled, and cracked skin patches
  • Itching
  • Soreness or a burning feeling, especially in the anal area
  • Easy bruising
  • Fragile skin
  • Changes in the tube for urine flow (urethra)
  • Bleeding, blistering or open sores
  • Pain

Treating Perianal Lichen Sclerosus

Unfortunately, there is no cure for LS, but there are many ways that you can manage your condition and reduce the pain that you are experiencing. 

You can try over-the-counter ointments and creams, but these are often not strong enough on their own. The most effective creams are steroid-based but will require a doctor’s prescription. 

If you do get prescribed these types of creams, some users find that they become immune to them over time and need to use much stronger doses. For a long-term treatment option, they might not be enough.

In some cases, LS symptoms can become so extreme that surgery will be required to remove excess skin from your genitals. The aim of cutting back your skin is to encourage new, unaffected skin to grow and heal. 

Surgery can be very effective for some people suffering from Lichen Sclerosus (anus) and Lichen Sclerosus (vulva), but it can’t stop LS indefinitely, and it could return in the future. 

One thing you can do relatively easily is avoid scented soaps and shower gels in the areas affected by Lichen Sclerosus. Your anus, vulva and general vaginal area can be very sensitive, and scented soaps or shower gels can exacerbate the problem. 

The O-Shot For Perianal Lichen Sclerosus

If you feel like you’ve tried everything to relieve your LS symptoms, and it’s not helping, there is another treatment that is proven to be very effective for Lichen Sclerosus sufferers.

The O Shot is a non-invasive treatment that helps women break free from Lichen Sclerosus (anus, vulva or other affected areas). 

This O-Shot is derived from PRP (platelet-rich plasma) treatments that harness the power of your own blood to provide healing relief for conditions such as LS.

The O-Shot (for women) and the P-Shot (for men) are non-invasive treatments designed to rejuvenate the vagina and the penis – and can be used on the anus too. It is proven to improve the symptoms of Lichen Sclerosus because PRP injections speed up the healing process and reduce inflammation of the tissues affected by the condition. 

By helping to heal the damaged tissue, PRP can provide significant relief from Lichen Sclerosus symptoms. The platelet-rich plasma uses the incredible healing ability of your own immune system, making it a very natural treatment with minimal risk of side effects.

We use an FDA-approved centrifuge at Elite Aesthetics to give the best possible results. The centrifuge concentrates your blood platelets and plasma to make a very potent PRP serum. This is then injected around the affected areas.

This treatment has shown success in reducing itching, pain, and inflammation associated with Lichen Sclerosus. The therapy also promotes tissue regeneration, improving the appearance of scarring caused by the condition.

The results can last up to 12 months, and women suffering from Lichen Sclerosus, anus and vulva, reported feeling improvements within a few days of the treatment.

Understanding Lichen Sclerosus (Anus): Symptoms, Causes, and Treatment

Next Steps

The O-Shot is a quick and painless treatment that gives you months of relief from the condition without having to rely on prescribed medication.

It is the most natural treatment without having to resort to invasive surgery, as it harnesses the phenomenal healing power of your own body.

If you would like to hear more about how the O-Shot could treat your perianal Lichen Sclerosus (anus), then you need to book a consultation with one of our experienced doctors. 

You can contact us either by calling 01322 381 205, emailing, or WhatsApp us

We hold our consultations in our award-winning clinic based in Greenhithe, Kent, which is just 20 minutes away by train from London and 10 minutes from Gravesend. 

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4.97/5 from 1229 reviews

Dr. Shirin is a fully-trained and highly-experienced aesthetic physician, who works diligently to ensure a 5 star quality service, and brings an honest and ethical approach to every one of our clients. With over 20 years of experience in the medical field, including several years as a GP and a sub-speciality in anaesthetics, Dr. Shirin is fascinated by the harmony between medicine and aesthetics, and with her expertise, Elite Aesthetics is able to offer effective, doctor-led treatments to vastly improve the lives of our clients.

To find out more about how we’ve put a smile on customers faces in the past, read our testimonials below for first-hand accounts of a variety of our treatments. You can also find out more about what we think at Elite on our blog, as well as reading more about what the press says about us. Our delighted clients hail from areas including Dartford, Gravesend, Bromley, Maidstone, Sevenoaks, and West Malling – as well as from further afield.

Had a consultation with Elite yesterday, I must say I was a bit nervous, but Dr Shirin was so friendly and helpful.
I was given lots of advice and was given treatment options that were within my budget.
A few weeks after the P Shot I've really started to see a difference and have gained my confidence back.

Thank You!



Elite is an outstanding professional clinic with high standard treatments. All the staff members are friendly and offer you honest opinions when it comes to products and treatments. This is a welcoming clinic that I can 100% recommend. Treatments are spoken through and explained in detail, also aftercare. I have been going nearly a year now and am happy with all the treatments I’ve had, wouldn't go anywhere else. The Bocox treatment started to work within a few days, which I was surprised about. So glad I went to Elite for treatment.



Thank you Dr Shirin, the O Shot has really helped me with my Lichen Sclerosus. I'd heard about the treatment on the LS Facebook Groups and message a few people that had treatment with Dr Shirin. I was like many in the group who had run out of treatment options and using creams on a daily basis. I have to say a few months after treatment, I can see a real positive change and I'm hoping my LS will continue to improve. Dr Shirin did say that I might have to have a second treatment given how severe my case is.




A great discovery in the neighbourhood ! There is no need to go up to London for a beauty treatment of any kind. You'll find a whole range of different treatments suiting all age groups and concerns. Welcoming, reassuring, friendly, professional, high tech. I shall be back for more. I love the results of the Thread Lift I had.


Great service as always, skin is glowing very happy


Very happy with the result of my recent visit. For sure will continue with Elite in future

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We have extensive knowledge and experience in the medical and aesthetics industries, but we know that above all, the results matter! All of our treatments are vigorously tested in-house before we offer them to our clients to ensure they are safe, effective and will give you, our wonderful clients, the results you want. Your happiness, well-being and satisfaction are at the very core of everything we do here at Elite Aesthetics, and as a result we will never over-treat or carry out a procedure that Dr. Shirin, deems inappropriate or unsafe. Ethical treatment guides our practice, and we aim to become an industry leader in this respect. This means you can always feel confident that you are in safe hands when you choose Elite Aesthetics.

Our practice is led by our founder, Dr. Shirin Lakhani, who is an advocate for greater regulation in the aesthetics industry. Dr. Shirin and Elite Aesthetics believe greater regulation is vital to the development of aesthetics industry as a whole, and as such, our clinic’s philosophy is based on providing doctor-led care to the highest, medically approved standards. We adhere to stringent ethical and medical principles ensuring all the procedures we offer are safe and effective. Dr. Shirin is also fully registered with the GMC (reference number 4634863), and Elite Aesthetics is Save Face accredited, an endorsement recognised by the UK Government, The Department of Health, NHS England and the CQC (Care Quality Commission).

Elite Aesthetics has been awarded Thread Lift Certification by MINT Threads.

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17:16 05 Jun 23
Hi, Alex here,Just had my Lichen treatment today with Dr Shirin,The whole team at elite are very friendly, comforting and understanding, and did everything they could to give me a wonderful and welcoming experience. They are all so kind, friendly and knowledgeable, world experts at what they do. I am lucky to have them near London. They are also super responsive on the phone and email, so I know they care about thier patients, and I'm very well taken care of, (as with other clinics I have been to, its often difficult to get them to respond to questions), but this clinic is the most responsive I have ever seen!This is a beautiful and wonderful place and I highly recommend it, and I will be recommending it to all my friends as well. They definitely deserve the super high reviews they are getting, so I'm happy to add another one! A Big thank you from me and my family for all you have done for us during this journey!

Margaret QuirkeMargaret Quirke

19:44 11 Apr 23
Great team, friendly and professional. Made me feel very comfortable. They explain everything in detail.very welcoming upon arrival too.I've been going now for a number f weeks and the attitude and cleanliness is consistent. The reception area is always spotless no matter the weather.The staff attitude is always friendly and they put me at great ease

Salima CharifSalima Charif

09:34 30 Mar 23
Good service, honesty and excellent customer service as always 👍

Valerie LambValerie Lamb

08:40 15 Mar 23
Yesterday I had a 'body sculpt' session, to help lymphatic drainage. I was zipped into a suit up to my waist. This massaged and lightly squeezed my feet, ankles, calves, thighs and abdomen. I was breathing oxygen rich air via nasal tubes. It was very relaxing and I slept really well last night. Thank you Elite Aesthetics.

Izzy ChaplinIzzy Chaplin

20:11 09 Mar 23
Today was the first time I visited Elite. The staff were all so friendly and accommodating. Dr. Shirin is so knowledgeable and really helped me understand all the concerns I had. I will definitely be returning. I highly recommend Elite to everyone, especially those concerned with the menopause !


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