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Female Sexual Dysfunction
Vulvar Lichen Planus
Vulvar lichen planus is an inflammatory autoimmune condition causing painful, purplish lesions on the vulva and vaginal mucosa that can lead to scarring, adhesions, and severe sexual dysfunction.
65%
Success Rate
Chronic; may persist for years with flares and remissions
Duration
Multiple
Treatment Options
2+ Groups
May Affect
What is Vulvar Lichen Planus?
Vulvar lichen planus is an inflammatory autoimmune condition causing painful, purplish lesions on the vulva and vaginal mucosa that can lead to scarring, adhesions, and severe sexual dysfunction.
Prevalence: Less common than lichen sclerosus; exact prevalence unknown
Symptoms and Signs
- •Purple, flat-topped papules on vulva
- •Erosive lesions causing pain
- •Vaginal discharge and irritation
- •Painful intercourse
- •Postcoital bleeding
- •Vaginal adhesions and stenosis
Causes and Risk Factors
Common Causes
- →Autoimmune T-cell mediated inflammation
- →Genetic factors
- →Hepatitis C association
- →Medication-induced (lichenoid reaction)
Risk Factors
- ⚠️Autoimmune disease history
- ⚠️Hepatitis C infection
- ⚠️Middle-aged women
Treatment Options
Expected Outcomes: 60-75% symptom control with topical therapy; tends to be more refractory than lichen sclerosus
Available Treatments:
- ✓Topical corticosteroids
- ✓Topical calcineurin inhibitors
- ✓Systemic corticosteroids (severe cases)
- ✓Vaginal dilators
- ✓Surgical management of adhesions
- ✓Pain management
Prevention Tips
- →Avoid irritants
- →Regular vulvar exams
- →Gentle cleansing
- →Lubrication for intercourse
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