Vulvar Lichen Sclerosus – The Skin Condition No One Talks About

Vulvar Lichen Sclerosus – The Skin Condition No One Talks About

Dear BVTalks,
I’m 52, and over the last year, the skin around my vulva has turned pale and thin. Sometimes it itches so bad I can’t sleep. Sex has gotten painful, and I’ve noticed little tears after. My doctor briefly looked and said it was probably irritation, but it’s only getting worse. Is this something serious?
— Worried and Uncomfortable, 52

If your vulva feels raw, itchy, or looks pale and patchy—you are not overreacting. This could be lichen sclerosus, a chronic skin condition many women don’t hear about until years later.

Signs to look for:
White or shiny patches of skin
Intense itching, especially at night
Small cracks or tears with sex or wiping
Skin that feels thin or crinkled

Why it matters:
Lichen sclerosus won’t go away on its own—and over time, it can cause scarring or narrowing of the vaginal opening.

Treatment options:
High-potency steroid creams to reduce inflammation and itching
Gentle skincare—no fragrances, no scrubbing
Regular check-ups—there’s a small risk of vulvar cancer if left untreated

You deserve a thorough exam and a clear diagnosis. Ask for a vulvar biopsy if your symptoms aren’t improving. Early treatment can prevent scarring and bring relief.

You are not alone—and this is treatable.

BVTalks