Functional gynecology

Vulvar lichen sclerosus

Lichen sclerosus is a dermatological condition that progressively causes a blurring of the normal anatomy of the vulva. It is characterized by epithelial thinning, marked inflammation and distinctive dermal changes. All this is accompanied by itching and pain.

Lichen sclerosus occurs in 85 to 98% of cases in the anogenital region, although it can develop on any skin surface.

The actual prevalence is not known; estimates vary:

  • General gynecology consultation: 1 out of every 30-59 patients.
  • Dermatology referral: 1 in 300-1000 patients.

Regenerative gynecology offers alternatives to the treatment of choice to date, topical corticosteroids. This specialty manages options that can be especially beneficial for patients who wish to recover the anatomy of the vulva, have window periods of their usual treatment or who are refractory to first-line treatment.

Non-surgical treatments

  • CO2 Laser
  • Application of autologous plasma rich in growth factors with/without hyaluronic acid.
  • Shock waves
  • Genital radiofrequency
  • Emsella
  • lipotransfer

Vulvar lichen sclerosus

Frequently Asked Questions

What are the causes of lichen sclerosus?

The causes of lichen sclerosus are unknown. Genetic predisposition is possible, although the most evident are autoimmune disorders. Intestinal hypermeability may be the most obvious cause and is shared by most patients.

How do I know if I have lichen on my vulva?

Self-examination and self-knowledge of our genitals allows us to distinguish and detect any abnormalities in our vulva. If you feel recurrent itching or the color and shape of your genitals have changed, you should go to a gynecologist for testing for lichen.

What are the symptoms of lichen sclerosus?

It is a pathology that does not have clear and specific symptoms. The main and most common is itching or pruritus. In addition, there may be: fusion of the labia minora or a decrease in the labia minora, a covering of the clitoral hood by the prepuce, itching and fissures in the perianal area, painful defecation, pain during intercourse or penetration, etc.

Can I have sex if I have lichen?

Vulvar lichen sclerosus is not infectious and is not transmitted through sexual intercourse, so you can have sexual intercourse as long as it is not painful.

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