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The main symptom of lichen sclerosus is severe itching. Scratching can result in broken skin, burning or stinging, pain during sex and/or urination. Lichen sclerosus is thought to be an autoimmune disorder. It affects women of all ages but is primarily found in post-menopausal women. Lichen sclerosus can be misdiagnosed as thrush however, on inspection, the skin is dry, shiny, finely wrinkled and may have white patches. If left untreated lichen sclerosus can cause severe scarring of the vulva (including the shrinking of the labia and narrowing of the vaginal entrance). It is also associated with a small increased risk of vulval cancer. Treatment involves the use of a topical steroid and is often life-long. Once a woman is diagnosed with lichen sclerosus she should undergo regular reviews, even if asymptomatic, to ensure the condition is under control and no cancerous changes have occurred.
For more information Queensland women can call the Health Information on 3839 9988 or 1800 017 676 (toll free outside Brisbane) or visit www.womhealth.org.au.
Please note that all health information provided by Women’s Health Queensland Wide is subject to this disclaimer.
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