Lichen Sclerosis Q & A

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What is lichen sclerosis?

Lichen sclerosis is a rare skin condition that most frequently presents on your genitals or anus. It’s most common in women after menopause.

Lichen sclerosis may produce many symptoms:

• Itching, that may be severe

• Pain and discomfort

• Wrinkled or thin, smooth white skin patches

• Skin that bruises, tears, or bleeds easily

• Painful sexual intercourse

It’s important to note that your cancer risk increases slightly when symptoms present on your vulva, so be sure to seek treatment as soon as possible.

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What causes lichen sclerosis?

The cause of lichen sclerosis is not known but is most likely due to a combination of factors. It is not infectious. It is not contagious and cannot be spread through sexual intercourse.

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What are treatments for lichen sclerosis?

When it affects your genitals, you should seek treatment immediately. Even if symptoms are mild, the changes in your skin can still cause discomfort during sexual intercourse or urination.

There are different treatment options for lichen sclerosis:

• Topical corticosteroids

• Possible vulva laser therapy

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How does laser therapy treat lichen sclerosis?

Vulvar laser therapy, an innovative, non-invasive procedure, stimulates collagen growth and neovascularization.

While vaginal laser therapy has not been approved by Health Canada for the treatment of lichen sclerosis, there are studies which show promising results. Patients who have been treated with vulvar laser report significantly decreased or resolved itching and pain, and improved elasticity and colour of the skin. Studies are ongoing in the hopes of receiving approval from Health Canada for this indication.

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In the meantime, Dr. O'Toole and Dr. Tomas are offering vulvar laser therapy to women with lichen sclerosis after full evaluation and discussion of options.

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Call or request an appointment online today for a thorough evaluation and a clear discussion of the best available treatment options for you.