Is lichen sclerosus more common after menopause?
Yes, lichen sclerosus is most commonly diagnosed after menopause, though it can occur at any age. Hormonal changes and reduced oestrogen may contribute to increased risk in postmenopausal women.
Detailed Medical Explanation
Research shows that the incidence of lichen sclerosus increases with age, especially after the menopause. Oestrogen deficiency may weaken vulval skin, making it more susceptible to inflammation and microtrauma. However, the condition also occurs in younger women and even children. For further details see NHS and British Association of Dermatologists.
Clinical Context
Women after menopause should be aware of new or persistent vulval symptoms. Our clinic offers specialist assessment and support for all ages: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
Most cases are seen in postmenopausal women, but diagnosis is important at any age. For management, see NICE BNF.