Lichens sclerosis is a chronic inflammatory skin condition affecting the genitals–in women, around the vulva and perianal area, and in men, around the head of the penis and foreskin.

It creates areas of thin white patchy skin that can become frail, resulting in tearing.

Some people do not have any symptoms, whereas others have intense itching and discomfort that occurs episodically, i.e. flares and then eases. Over time erosions can form which will heal by forming scar tissue. This scar tissue can lead to narrowing of the urethral, vaginal or anal openings, and in men, phimosis (scars preventing retraction of the foreskin).

Medical treatment is key, and involves potent corticosteroid creams.

The itchiness/pain/discomfort of lichens sclerosis typically results in muscular guarding of the area–a natural protective response to pain. Often the pelvic floor muscles tense and guard, resulting in painful intercourse, and sometimes difficult urination or bowel movements. Pelvic physiotherapy and osteopathy treatment is key for these issues by helping prevent scarring over of the clitoris, urethra, vagina and anus.

Contact me if you are interested further information about or treatment for this condition.