Lichen Sclerosus on Vulva: Causes, Symptoms and Relief Options

Lichen Sclerosus on vulva, labia and clitoris is a chronic skin condition affecting around 1 in 100 women. It can be an incredibly painful and uncomfortable condition and has a significant impact on women’s lives.

While the condition doesn’t currently have a cure, research and development into LS have meant some treatments can offer significant relief.

At Elite Aesthetics, we prioritise support for LS sufferers. We dedicate significant time to providing effective treatments that often succeed where others have failed.

This blog looks at the condition and how it can be treated.

What is Lichen Sclerosus on Vulva, Anus & Labia?

Lichen Sclerosus is a long-term skin condition that causes thin, white, itchy patches to develop on the skin. It most commonly affects the genital and anal areas, particularly the vulva in women.

There are many misconceptions about LS, and it is really important to understand that Lichen Sclerosus:

• Is not contagious: You will not catch it from someone else or pass it on to anyone.
• Is not caused by poor hygiene: LS is not related to cleanliness.
• Is not a form of cancer: Although it can sometimes increase the risk of certain cancers if left untreated.

What Causes Lichen Sclerosus?

The exact cause of Lichen Sclerosus is unknown, which is partly why it is so difficult to treat. However, with this in mind, most doctors agree that several contributing factors could be responsible for its development, and they are listed below:

Hormonal changes: It’s more common in women after menopause, suggesting that lower oestrogen levels may play a role.

Overactive immune system: The body’s immune system may mistakenly attack healthy skin cells, leading to inflammation and skin changes.

Genetic factors: Doctors believe that there may be a genetic predisposition to developing Lichen Sclerosus, as it can sometimes run in families.

Previous skin damage: Injury or irritation to the skin in the affected area may trigger Lichen Sclerosus in some cases.

Symptoms of Lichen Sclerosus on Vulva, Anus & Labia

Itching: This is often the most bothersome symptom and can be severe and persistent.

Skin changes: The skin may appear thin, white and crinkled with possible red or purple patches.

Pain or discomfort: This can occur during sex, urination, or even just during everyday activities.

Bleeding or tearing: The skin becomes fragile and easily damaged.

Sexual difficulties: Pain and tightness can make sex difficult or impossible.

How is Lichen Sclerosus Diagnosed?

Lichen Sclerosus (on vulva, anus and labia) are notoriously misdiagnosed. Symptoms can often be confused with other conditions, and finding the correct diagnosis and treatment is difficult. However, if you suspect you might suffer from this condition, ask your doctor for an examination. An experienced gynaecological doctor will examine the affected areas and ask about your symptoms.

A small skin sample may be taken to confirm the diagnosis and rule out other conditions. As mentioned earlier, this condition can be mistaken for various other issues, which makes it difficult for many women to receive a proper diagnosis. For instance, one of our patients, Sam, lived with this condition for 14 years before finally being diagnosed. If you suspect you have it, be clear that you want to be tested. And please remember, we are always available to consult if you prefer a private diagnosis.

Treatment Options for Lichen Sclerosus

Topical Corticosteroids: The most common treatment is topical corticosteroids, powerful anti-inflammatory creams or ointments that help reduce itching, redness and skin thinning. The most commonly prescribed are clobetasol propionate and mometasone furoate. 

However, it is essential to note that long-term use can have side effects, such as skin thinning, so they should be used only administered as directed by a doctor. These treatments can also become less effective over time as the body builds up a “tolerance” to them. 

Other Topical Medications:

Calcineurin inhibitors: These medications, such as tacrolimus and pimecrolimus, suppress the immune response and can be helpful for people who cannot tolerate or have not responded well to corticosteroids.

The O-Shot: The O-Shot, or Orgasm Shot, is a procedure that involves injecting platelet-rich plasma (PRP) into the clitoris and other areas of the vulva. PRP contains growth factors that can stimulate tissue regeneration and improve sexual function. Elite Aesthetics has seen LS’s most positive long-term treatment results using the O-Shot. The procedure can help:

• Reduce inflammation
• Promote natural healing
• Improve blood flow to the affected area 
• Reduce pain and improve sexual function.

Morpheus 8V: This impactful treatment combines microneedling with radiofrequency energy to stimulate the production of collagen and elastin. By improving tissue integrity, increasing blood flow and strengthening the skin, LS symptoms can be significantly reduced, with many of our patients reporting: 

• Less itching 
• Reduced discomfort 
• Less pain during intercourse 
• Improved skin condition

Lifestyle Changes and Home Remedies:

If your symptoms are mild, you can make some simple changes to your lifestyle, which can work well alongside all treatments to relieve the condition.

• Gentle cleansing: Use mild, unscented soaps and avoid harsh scrubbing.
• Avoid irritants: Avoid perfumed products, dyes and synthetic fabrics.
• Loose-fitting cotton underwear: Helps reduce friction and irritation.
• Cool compresses: Can soothe itching and inflammation.
• Stress management: Stress can worsen symptoms, so relaxation techniques may be helpful.

Why Choose Elite Aesthetics for Lichen Sclerosus Treatment?

Elite Aesthetics specialises in women’s intimate health concerns, including Lichen Sclerosus on vulva, anus and labia. Dr Shirin Lakhani has extensive experience in diagnosing and treating this condition, providing a comfortable and discreet environment where you can feel safe discussing your concerns.

At Elite Aesthetics, we provide a holistic approach to care, including education, support, personalised treatment plans, and cutting-edge treatments like the O-Shot.

Life Beyond Lichen Sclerosus: Vulva, Labia & Anus

LS can feel like a trap with no escape, but some treatments provide long-lasting relief. After suffering for over 14 years, Sam felt like she’d tried absolutely everything until Dr Shirin came along and offered her an alternative solution. You can read her inspiring story here.

If you would like to hear more about how to treat your Lichen Sclerosus (on vulva, labia or anus), then you should book a consultation with our experienced doctor. 

You can contact us by calling 01322 381 205, emailing info@elite-aesthetics.co.uk or WhatsApp us. Consultations are held in our award-winning clinic based in Greenhithe, Kent, which is just 22 minutes away by train from London and 10 minutes from Gravesend.