Can lichen sclerosus lead to scarring and adhesions?
Yes, chronic or untreated lichen sclerosus can cause scarring, adhesions, and even fusion of vulval structures. These changes may impact urination, sexual function, and quality of life.
Detailed Medical Explanation
Long-term inflammation leads to fibrosis, resulting in thickened, inelastic, or whitened skin. Labial fusion, narrowing of the vaginal opening, clitoral phimosis, and adhesions can occur. These may cause pain, difficulty with sexual activity, and urinary symptoms. Early, regular treatment minimises this risk. More at NHS and British Association of Dermatologists.
Clinical Context
Scarring can be prevented or minimised with early diagnosis and treatment. Our clinic provides assessment, education, and ongoing care: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
Potent topical steroids are key to preventing scarring and adhesions. Early intervention gives the best outcomes. See NICE BNF.