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Female Sexual Dysfunction
Vulvar Lichen Sclerosus
Vulvar lichen sclerosus is a chronic inflammatory dermatosis causing white, atrophic patches on the vulva that can lead to scarring, fusion of labia, introital stenosis, and painful intercourse.
85%
Success Rate
Chronic condition requiring long-term maintenance therapy
Duration
Multiple
Treatment Options
3+ Groups
May Affect
What is Vulvar Lichen Sclerosus?
Vulvar lichen sclerosus is a chronic inflammatory dermatosis causing white, atrophic patches on the vulva that can lead to scarring, fusion of labia, introital stenosis, and painful intercourse.
Prevalence: Affects 1-3% of women; often underdiagnosed
Symptoms and Signs
- •White, thin, wrinkled vulvar skin
- •Intense vulvar itching
- •Burning and soreness
- •Painful intercourse from stenosis
- •Fissures and tearing during sex
- •Fusion of labia minora (advanced)
Causes and Risk Factors
Common Causes
- →Autoimmune dysregulation
- →Genetic predisposition
- →Hormonal factors
- →Chronic irritation
Risk Factors
- ⚠️Family history of lichen sclerosus
- ⚠️Autoimmune disorders
- ⚠️Postmenopausal women
Treatment Options
Expected Outcomes: 80-90% symptom control with topical corticosteroids; requires lifelong management
Available Treatments:
- ✓High-potency topical corticosteroids
- ✓Topical calcineurin inhibitors (tacrolimus)
- ✓Vaginal dilators for stenosis
- ✓Surgical lysis of adhesions
- ✓Pelvic floor physical therapy
- ✓Regular monitoring for malignant transformation
Prevention Tips
- →Early diagnosis and treatment
- →Avoid irritants
- →Regular vulvar self-exams
- →Moisturizers
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