Lichen sclerosus can affect people of various genders, ethnicities and ages. However, it can be more common in women over the age of 50.
The skin around the vagina, anus, foreskin and end of the penis can change by becoming itchy, white or particularly smooth or crinkled. The genital skin may bleed or hurt easily if damaged.
Unfortunately, the cause of Lichens sclerosus is unknown. However, some say that it may be your body’s defence to a possible infection in which it mistakenly attacks and damages your skin.
The possible scarring and tightness caused may result in discomfort in both men and women. This may be during urination, erections and other activities that involve the genitals.
Furthermore, Lichen sclerosus cannot be cured, but it is possible to manage the symptoms using medications. It may take a few months for the symptoms to be managed, but it is possible.
The Process
Questionnaire
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Consultation & Diagnostics
We’ll take the time to understand & discuss your concerns, including the right course of tests/medications (as needed).
Management
We will offer you the appropriate medications to help manage your condition.
Telephone Follow Up
We will ask you to get in touch to let us know how you’re getting on and if any further action is required.
Next Steps
Fees
Consultation (Consultant Doctor) £150 (not inc. in tests)
Consultation (Specialist Nurse) £60 (inc. in tests)
Bacterial Culture & Sensitivity test £150
Fungal Culture & Sensitivity test £150
Bacterial s16 RNA PCR test £250
Fungal s16 RNA PCR test £250
Skin biopsy (with consultant) £250
Medications (in clinic) £30/course
Health Insurance
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Page reviewed by Dr. Manoj Malu (Clinical Director)
Last reviewed date: 16 February 2023
Next review due: 16 February 2026
Whilst this content is written and reviewed by sexual health specialists, it is for general guidance only. It is not intended to replace the advice of your clinician.
References & Further Reading
- Mayo Clinic: Lichens sclerosus
- Cleveland Clinic: Lichen Sclerosus: Causes, Symptoms, Diagnosis & Treatment
- Rare Diseases: Lichen Sclerosus – Symptoms, Causes, Treatment
- UpToDate: Patient education: Vulvar lichen sclerosus (Beyond the Basics)
- DermNet: Lichen sclerosus
- Macmillan Cancer Support: Vulval lichen sclerosus (LS)
- StatPearls: Lichen Sclerosus
- Lichen Sclerosus—Presentation, Diagnosis and Management – PMC
- Yale Medicine: Lichen Sclerosus
- Autoimmune Association: Lichen sclerosus