What does vulval skin changes feel like with lichen sclerosus?

The vulval skin may become pale or white, smooth and thin, with a crinkled texture. It can feel itchy, sore, tight or easily irritated by rubbing. Tiny splits may develop, causing stinging when urine passes over the area or discomfort during sexual contact. The skin pattern may extend around the anus, creating a figure-of-eight appearance, although not everyone has the same distribution. Other skin conditions can look similar, so a visual change needs a clinical examination.

Book an appointment with a clinician for diagnosis and a treatment plan. Wash gently with water or a non-perfumed emollient, avoid scrubbing and choose loose clothing. Use prescribed medicine exactly as directed and attend follow-up appointments, because the skin may need monitoring even after symptoms settle. Avoid applying multiple products that burn or conceal the changes before assessment.

Arrange prompt medical review for a persistent ulcer, bleeding, a new lump, a thickened patch or a sore that does not heal. Seek urgent help if swelling or pain makes passing urine difficult. New or changing areas deserve assessment rather than self-treatment.

Ask whether the appearance is consistent with lichen sclerosus, how to protect fragile skin, when follow-up is due, and which changes should be reported quickly.