How common is vulval pain in lichen sclerosus?

Lichen sclerosus is a long-term inflammatory skin condition that can affect the vulva and the skin around the anus. It may cause itching, soreness, burning, pale or crinkled skin, and small splits that hurt with movement or sexual contact. Skin may become more easily irritated by rubbing, fragranced products, or tight clothing.

Vulval pain can have several causes, so an examination is needed to distinguish lichen sclerosus from infection, dermatitis, or another skin condition. Ongoing assessment also helps a clinician check how the skin is responding to treatment and whether any persistent thickened, ulcerated, or changing area needs closer review.

Arrange an appointment for persistent itching, soreness, colour change, splits, or pain during sex. Use gentle, fragrance-free washing, avoid scrubbing, and choose loose clothing. A clinician may prescribe an anti-inflammatory ointment and show you how to apply it to affected skin. Use the treatment as directed and attend follow-up visits so the skin can be checked over time.

Seek prompt assessment for a sore that does not heal, bleeding without clear injury, a new firm area, rapidly changing skin, or pain that is escalating. Get urgent help if severe swelling, fever, or difficulty passing urine develops. These changes do not confirm a serious cause, but they should be examined without delay.

Ask whether the skin changes fit lichen sclerosus, how to apply prescribed ointment, and which products may irritate the area. Ask how often follow-up is needed and which new skin changes should lead you to return sooner.