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Lichen Sclerosus (Vulval) – What Is It & Can It Be Treated?

Skin conditions such as Lichen Sclerosus (vulval) can be incredibly frustrating and painful. It’s difficult to get the correct diagnosis and even harder to find treatments that work for you. 

As an award-winning clinic based in Greenhithe, Kent, we’re passionate about raising awareness for Lichen Sclerosus and helping women to understand their condition and find appropriate treatment. 

Skin irritations around the genitals are not uncommon and are often nothing to worry about. But some conditions, like Lichen Sclerosus (vulval), become so unbearable that they can greatly impact your life.

Most treatments are usually dependent on advice from a doctor or skincare specialist. However, when skin problems occur around the genitals, embarrassment often stops people from asking for help. 

What Is Lichen Sclerosus (Vulval)?

Lichen Sclerosus (vulval) is an incredibly frustrating and life-impacting skin condition that affects the skin of the genitals. It appears as white spots and results in itching, burning pain, and scarring. 

Your skin has several layers and if you suffer from Lichen Sclerosus (vulval), the outer layer (the epidermis) becomes very thin, resulting in inflammatory cells invading 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. 

Stretchy fibres in your skin, containing essential elastic and collagen, can break which is incredibly painful and can lead to symptoms such as itching, pain and blisters.

It affects both men and women, but is more common in women and this blog will focus on Lichen Sclerosus (vulval). 

It is very distressing for those suffering from it, and the symptoms can damage your self-confidence and affect your mental health, putting strain on your relationship with yourself and others.

What Are The Symptoms?

Symptoms usually present themselves when your body experiences hormonal changes, often during puberty or as you approach menopause. 

The most common symptoms might include:

  • Vulvar itching
  • Anal itching, bleeding, or pain
  • Pain during sex
  • Skin bruising and tearing
  • Blisters
  • Easy bleeding from minor rubbing of the skin
  • Trouble urinating or pain with urination

What Causes It?

There is no known cause for Lichen Sclerosus (vulval), but an overactive immune system usually plays a role. Hormone imbalances such as increased or decreased oestrogen levels can contribute to it, as does past skin damage. It’s not contagious, but some experts believe that certain gene types might play a role.

What Treatments Are Available?

Lichen Sclerosus (vulval) can be misdiagnosed as thrush, but over-the-counter vaginal creams that are used to treat thrush don’t help resolve the issue.

Stronger ointments and treatments are often needed such as:

  • Steroid Creams – They reduce pain, itching and inflammation. However, when used regularly, your body can build up an immunity to the creams and they become less effective.
  • Steroid Injections – Lichen Sclerosus (vulval) can also be treated with steroid injections 
  • Ultraviolet Light – UV-A1 phototherapy is an effective treatment as it softens former sclerotic skin lesions.
  • Surgery – In some extreme cases, surgery can be used to remove excess skin from your genitals. The aim is to encourage your skin to heal back stronger. 
  • O Shot – This is a revolutionary, non-invasive treatment that helps women break free from this debilitating condition. Many LS sufferers have benefited the most from this treatment.

What Is The O Shot?

The O Shot is a non-surgical treatment designed to rejuvenate your vagina and is proven to improve Lichen Sclerosus (vulval). It’s a PRP (platelet-rich plasma) treatment that uses the incredible healing ability of your immune system to heal another area.

At Elite Aesthetics, we use a specific FDA Approved centrifuge to give the best possible results – and we’re the only clinic in the UK to use this centrifuge for the O Shot.

PRP contains essential cell-regenerating growth factors that are needed for effective treatment.

How Does It Work?

A small amount of blood is spun at a high frequency within an FDA approved centrifuge to separate the platelet-rich plasma.

This PRP is then injected inside and outside of your vagina. This might sound uncomfortable, but the whole procedure is done under local anaesthetic so any discomfort is minimised.

The way it works is by stimulating your body’s stem cells to produce new tissue including collagen and adipose (fatty) tissue, nerve endings and blood vessels. Treatment areas such as the vaginal tissue become rejuvenated and thicker, and the sensitivity is heightened to increase blood flow to the erogenous zones.

How Does The O Shot Benefit Lichen Sclerosus

The benefits that you can expect post-treatment are:

  • Alleviation from the symptoms of Lichen Sclerosus (vulval)
  • Decrease of pain during and after sex due to dryness or scarring
  • Increased natural lubrication
  • Improved appearance of the labia
  • Alleviation from stress incontinence 
  • Enhanced arousal
  • Stronger and more frequent orgasms

There are only a few qualified practitioners in the UK able to carry out this treatment and Dr Shirin at Elite Aesthetics is one of them. You can read an exclusive case study about how Dr Shirin has helped to improve the symptoms of LS here.

Next Steps

If you’re struggling with Lichen Sclerosus (vulval) and would like to find out if this treatment would be suitable for you, then the first thing you need to do is book a telephone consultation.

All consultations at Elite Aesthetics are held in our award-winning clinic based in Greenhithe, Kent which is just 20 minutes away by train from St. Pancras, London. During your consultation, you will speak to our doctor, an accredited non-surgical cosmetic practitioner with over 20 years of experience, including several years as a practising NHS doctor.

Here you’ll be able to ask any questions you might have and discuss in greater detail what you want to achieve with your O Shot treatment. 

Click here to book your discreet consultation today…

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What Our Clients Say...

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 Greenhithe, Dartford, Gravesend, Bromley, Maidstone, Sevenoaks, and West Malling – as well as from further afield.

Read How I Improved My Lichen Sclerosus

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

  • Accreditations
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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 CQC (Care Quality Commission) Registered, an endorsement recognised by the UK Government, The Department of Health and NHS England.

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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Testimonials (Avg: 5 / 5) of 1229