Skip to content

If you have noticed thin, white patchy skin on your vulva and it causes you irritation and itching, you may have lichen sclerosus.

What is Lichen Sclerosus

Lichen sclerosus is a dermatologic condition that can cause the skin to become thin, white, patchy, and itchy. Lichen sclerosus commonly affects the external genitalia, a condition known as vulvar lichen sclerosus.

How many common is it?

The exact prevalence of vulvar lichen sclerosus is not known. However, it commonly presents during postmenopause.

What are the symptoms?

When lichen sclerosus affects the genitalia, patients may experience any of the following symptoms:

  • Thinning, white, irritated, patchy skin on the vulva
  • Itching
  • Blisters or cuts
  • Painful intercourse

Treatment Options

A combination of treatment options can be used to alleviate the symptoms of vulvar lichen sclerosus.

Some treatment options include:

  • Steroid cream, to reduce inflammation and itching
  • Devices, such as dilators, to ease the discomfort and pain associated with intercourse
  • Immune modulators
  • Compounded creams
  • Hormonal treatment
  • Co2 laser

What to expect on your visit

During your visit, you can expect your care team to listen to and address all of your concerns in a safe and trusted space.

A consultation for lichen sclerosus may include:

  • A history and physical examination
  • Labs
  • Biopsy of the affected area
Why does lichen sclerosus happen?

Lichen sclerosus can be caused by many factors. Generally, the incidence of lichen sclerosus peaks twice in a woman’s life: once during adolescence and once in menopause.

Is CO2 laser therapy an effective treatment for lichen sclerosus?

CO2 laser therapy is an effective treatment option for lichen sclerosus for patients who have failed traditional treatment. It is not considered a first-line therapy treatment option. We’ve previously conducted a clinical trial at HerMD demonstrating improvement in treatment outcomes for patients treated with fractional CO2 laser therapy.

Why did my orgasm disappear?

Lichen sclerosus causes a clitoral phimosis (i.e. scarring of the skin over the clitoris), which sometimes makes it harder to access tissue. As a result, clitoral stimulation and subsequent pleasure usually cannot be achieved.

The HerMD Difference

TYPICAL OB GYN OFFICE HerMD
  • 10 minute appointments
  •  20 – 60 minute appointments
  • Fragmented
  • In-person only
  • Hybrid: in-person and virtual
  • Sterile environment
  • Patient-centric, beautiful and warm
  • Focus on obstetrics, annuals, and STI care
  • Gynecology, sexual health and menopause focused with ISSWSH and NAMS trained providers

HerMD Trailblazers and Changemakers

Meet Your Women’s Healthcare Leadership Team

We’re Revolutionizing Women’s Health Care

But don’t just take our word for it…

  • Nicole Cherry


    Kendra is the best! She is always so personable and easy to talk to and I feel like she is truly listening to me and cares. I will definitely be back and will explore other services/care.

  • Teresa Foreman


    Danielle does such an amazing job. My skin always feels so soft when she is finished. Looking forward to my next appointment. Thank you Danielle!!

  • Kelly Marcum

    Cincinnati, OH

    Donna is the absolute BEST! If you’re looking for a place that listens and cares about you and your health. This is the place. I send all my friends and clients here. Don’t wait. Make your appt today. Get your face and your lady bits taken care of.

  • Peggy Berkemeyer

    Cincinnati, OH

    Michelle and Nadia are a great team! They are always willing to answer all questions and they go above and beyond.

  • Barbara Huckleby

    Cincinnati, OH

    Very professional. Dr. Davidson is easy to talk to. Appointments ran on time. Office was clean and inviting.

  • Tasha McGarvey

    Cincinnati, OH

    I saw Dr Davidson and was extremely impressed by her. She was very relatable, very compassionate and I felt very heard. The office was professional and very willing to explain things and helpful. Thus far I am impressed and looking forward to having Dr Davidson as my healthcare provider.

Questions

Get in touch with our Patient Advocate Team

Your Body,
Your Health,
HerMD.

SCHEDULE NOW

LET’S SCHEDULE YOUR

Live your best life - inside and out.

Better care is here

Live your best life - inside and out.