Does lichen sclerosus cause pain during sex?

Lichen sclerosus commonly affects the skin around the vulva and anus. It can cause itching, soreness, tiny splits, and changes in skin texture. Stretching during penetration may then produce stinging or pain, and repeated irritation can make symptoms harder to settle. Symptoms may involve the vulva rather than the inside of the vagina. Pain during sex has other possible causes too, so an examination is needed to identify the skin changes and rule out infection, hormonal dryness, or another condition.

Arrange a medical review if sex is painful or the skin is itchy, sore, pale, cracked, or changing. Until assessed, avoid activities that trigger rubbing, use a bland fragrance-free emollient as advised, and do not scrub or use scented washes on the vulva. A clinician may prescribe an anti-inflammatory treatment and explain how to apply it. Pause penetration when it hurts; pain is a reason to protect the skin, not push through it.

Seek prompt clinical review for a sore that does not heal, a new lump, bleeding after sex, increasing skin thickening, or pain that is worsening. Get urgent help for heavy bleeding, fever, rapidly increasing swelling, or severe pain. Ongoing follow-up matters because persistent skin changes need assessment, even when itching improves.

Could lichen sclerosus explain the soreness or skin changes I have? Do I need an examination or biopsy? Which treatment should I use and where should it be applied? How can I reduce friction during intimacy? What changes should prompt a new review?