The Ob-Gyn Center in Las Vegas provides specialized care for women with lichen sclerosus, a chronic skin condition that affects the vulva. Our compassionate team helps relieve itching, protect skin health, and manage symptoms for long-term comfort and confidence.

What Is Lichen Sclerosus?

Lichen sclerosus is a chronic inflammatory skin disorder that causes thinning, whitening, and irritation of vulvar tissue. It most often affects postmenopausal women but can occur at any age, including in children. Although not contagious or life-threatening, untreated lichen sclerosus can lead to pain, scarring, or changes in vulvar appearance over time.

The exact cause is unknown, but the condition may be associated with autoimmune activity, hormonal changes, or genetic predisposition.

Common Symptoms

Symptoms vary in severity and may develop gradually. Common signs include:

• Persistent vulvar itching (often worse at night)
• Burning, soreness, or stinging
• Smooth white patches or shiny skin
• Skin that tears, cracks, or bruises easily
• Pain during sex (dyspareunia)
• Bleeding or ulceration in advanced stages
• Narrowing of the vaginal opening

Some patients may have minimal symptoms early on, but the condition can progress without treatment.

When to Seek Care

You should schedule a visit with an OB/GYN in Las Vegas if you notice:

• Persistent vulvar itching or discomfort
• Pale, white, or fragile skin patches on the vulva
• Changes in vulvar appearance or texture
• Painful intercourse
• New sensitivity or pain in the genital area

Early diagnosis and treatment can reduce symptoms, prevent scarring, and lower the risk of complications.

Diagnosis

Lichen sclerosus is typically diagnosed through a combination of physical examination and testing. Your provider may perform:

• A detailed discussion of your symptoms and medical history
• Visual inspection of the vulvar tissue during a pelvic exam
• A skin biopsy to confirm the diagnosis and rule out other conditions

Our team provides a gentle, respectful exam experience focused on your comfort and privacy.

Treatment Options

While there is no cure for lichen sclerosus, consistent care can effectively control symptoms and prevent progression.

First-Line Treatment

• Topical corticosteroids: High-potency creams reduce inflammation, relieve itching, and prevent skin thinning or scarring.

Supportive Care

• Fragrance-free moisturizers or barrier creams to protect skin
• Gentle hygiene with unscented soap and warm water only
• Avoiding tight clothing or irritating fabrics (choose breathable cotton)

Long-Term Management

• Maintenance use of topical steroids at lower doses
• Regular follow-up exams to monitor skin health
• Biopsy of any non-healing or changing areas

In rare cases, lichen sclerosus can slightly increase the risk of vulvar cancer, making regular monitoring especially important.

Emotional & Sexual Health Support

Lichen sclerosus can affect both physical comfort and emotional well-being. At The Ob-Gyn Center, we offer resources and referrals for:

• Pain during sex and pelvic floor therapy
• Body confidence and emotional support
• Partner communication and intimacy concerns

Our approach addresses both physical and emotional aspects of care, helping you regain comfort and confidence.

Compassionate, Ongoing Care for Vulvar Health

Lichen sclerosus is manageable with early treatment and consistent follow-up. Whether you’ve just noticed symptoms or have been living with the condition for years, our dedicated team can help you maintain healthy, comfortable skin.

Ready to talk with an OB/GYN in Las Vegas?
Call 702-978-8900 or request an appointment at The Ob-Gyn Center today.