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Writer's pictureDr. George Kravvas

Genital Lichen Sclerosus: Causes, Symptoms, and Treatment Options

Updated: Nov 9




 

Genital lichen sclerosus is a long-term skin condition that can affect the genital and anal areas. It may cause discomfort, itching, and changes to the skin’s appearance. Although it’s not contagious, it’s important to understand the symptoms and get treatment early to prevent complications.


What is Genital Lichen Sclerosus?


Lichen sclerosus is a condition that causes the skin in the genital or anal area to become thin, white, and fragile. It can affect anyone but is most common in postmenopausal women and uncircumcised men.


Symptoms of Genital Lichen Sclerosus


Some common signs of genital lichen sclerosus include:

  • Itching: Persistent itching around the genitals or anus.

  • Skin Changes: Skin that looks white, shiny, or wrinkled.

  • Pain or Discomfort: Pain during sex or when urinating.


If you notice these symptoms, it’s important to see a doctor for an evaluation.


Why Early Diagnosis is Important:

Lichen sclerosus can lead to scarring and, in rare cases, increase the risk of skin cancer if it’s not treated. Seeing a specialist early can help you avoid these complications and manage the condition effectively.


Causes of Genital Lichen Sclerosus


Evidence suggests that lichen sclerosus (LSc) results from chronic exposure of delicate genital tissues to tiny droplets of urine caused by micro-dribbling. This risk can vary based on several factors, including genetic predisposition, the frequency and volume of micro-dribbling, and individual social or hygiene habits.


Treatment Options


There are a number of ways to treat lichen sclerosus:

  • Steroid Creams: These are often the first choice to reduce itching and inflammation.

  • Gentle Skincare: Use soap substitutes and wear loose, breathable clothing.

  • Surgery: For men, circumcision can be an option if the condition keeps coming back or causes tightness of the foreskin.

 

Living with Lichen Sclerosus


Although lichen sclerosus is a chronic condition, the right treatment can make a big difference. Many people find relief and live comfortably with regular care. Follow-up appointments with a dermatologist are important to keep the condition under control.

 

Takeaway


If you’ve been experiencing itching, discomfort, or changes in your genital skin, don’t hesitate to seek help. Lichen sclerosus is manageable with the right treatment, and early care can prevent long-term complications.

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