A Woman with Changing Vulvar Anatomy: Sexuality in Women with Lichen Sclerosus

  • Moniek M. ter KuileEmail author
  • Katja N. Gaarenstroom


Lichen sclerosus is a chronic inflammatory skin disease and mainly occurs in the anogenital area. Occasionally patients also have extragenital skin abnormalities. It primarily occurs in postmenopausal women. Itching is the main symptom. However, a burning sensation, dyspareunia, and dysuria are frequently reported symptoms. Postinflammatory scarring may cause fusion of the labia minora, narrowing the vaginal introitus and burying the clitoris. The treatment can consist of medical treatment (cortisone creams), psychological counseling, sexological counseling, pelvic floor physical therapy, and, in exceptional circumstances, surgery may help.


Lichen sclerosus Women Sexuality Itching Pain Burning sensation Squamous cell carcinoma (SCC) Provoked vestibulodynia (PVD) Lichen planus (LP) Lichen simplex chronicus (LSC) 


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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Department of GynecologyLeiden University Medical CentreLeidenThe Netherlands

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