Lichen sclerosus

Lichen sclerosus is a long-term skin condition that causes itchy, white, shiny patches of skin, most often on the genitals and around the anus. It is most common in women after the menopause, but can affect men and children. It is not infectious. It is thought to be linked to the immune system.

Last updated Nov 9, 2026

What it is

Untreated, it can cause scarring that changes the shape of the vulva or tightens the foreskin, and slightly increases the risk of skin cancer in the area.

Strong steroid creams usually control it well. Regular check-ups are recommended.

Common signs

  • Itching, often worse at night
  • White, shiny, thin patches of skin
  • Soreness or splitting skin
  • Pain during sex
  • A tight foreskin in men

How it is usually diagnosed

  • Examination of the skin
  • Biopsy, sometimes

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Dermatology or gynaecology letters
  • Biopsy reports
  • Treatment plans

Questions to ask your doctor

  • How often should I use the cream?
  • How often should I have check-ups?
  • Which changes should I watch for?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • A lump, ulcer or sore that does not heal in the affected area: get it checked soon

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources