Lichen Sclerosus (LIE-kun skluh-ROW-sus) is an uncommon condition that creates patchy, white skin that appears thinner than normal. It usually affects the genital and anal areas. Anyone can get lichen sclerosus but postmenopausal women are at higher risk.
Your doctor can suggest treatment with creams or ointments that help return a more normal appearance to your skin and decrease the tendency for scarring. The condition does tend to recur, so long-term follow-up care may be needed. Rarely, Lichen Sclerosus improves without treatment.
The risk of Lichen Sclerosus is higher for postmenopausal women, although it can occur in men and children. Men who are uncircumcised have a higher risk because the condition often affects the foreskin.
Complications of lichen sclerosus include painful sex, urinary retention, constipation and an inability to retract the foreskin. People with lichen sclerosus are also at an increased risk of squamous cell carcinoma of the affected area.
People with mild Lichen Sclerosus may have no signs or symptoms.
Signs and symptoms usually affect the skin of the genital and anal areas, but may also affect the skin of the upper body, upper arms and breasts. They may include:
Redness
Itching (pruritus), which can be severe
Discomfort or pain
Smooth white patches on your skin
Blotchy, wrinkled patches
Tearing or bleeding
In severe cases, bleeding, blistering or ulcerated sores
Painful sex