What do white patches on skin feel like with lichen sclerosus?

Lichen sclerosus can affect genital or nearby skin and may also occur elsewhere. Pale or white areas can become thin, delicate, and prone to tiny cracks from friction or scratching. Some people notice burning, pain with sex, discomfort when passing urine, or soreness during movement. Symptoms can fluctuate, and the appearance may overlap with other causes of pale skin, so an examination is needed rather than relying on colour alone.

Wash gently with lukewarm water or a fragrance-free cleanser, then pat dry instead of rubbing. Avoid fragranced products, tight clothing, and scratching; a plain barrier ointment may reduce friction if a clinician has said it is suitable. Keep a note of itch, cracks, bleeding, urinary discomfort, or pain with sex. Treatment prescribed for lichen sclerosus should be used on the schedule given, even when symptoms settle.

Arrange medical review for new white skin around the genitals, persistent itch, soreness, splitting, or changes in the shape of the affected area. Seek prompt assessment for a new lump, thickened area, ulcer, persistent bleeding, or a sore that does not heal. Urgent care is appropriate for severe pain, inability to pass urine, or rapidly worsening swelling. Ongoing follow-up helps monitor treatment response and skin changes.

Ask which areas are involved and whether the skin is fragile or scarred. What treatment schedule should I follow? Which products and sexual activities may irritate the area? How should I monitor a sore, lump, or colour change?