Does lichen sclerosus cause labial fusion?
Yes, lichen sclerosus can cause the labia minora to fuse together due to chronic inflammation and scarring. This complication is most common in girls and postmenopausal women.
Detailed Medical Explanation
Labial fusion occurs when the inner labia (labia minora) stick together, narrowing the vaginal opening. This can make urination, hygiene, and sexual activity difficult. Early, regular use of topical steroids reduces the risk and may reverse early adhesions. Surgery is rarely required. For more, see NHS and BAD.
Clinical Context
Our clinic offers sensitive management and treatment for labial fusion, tailored to each woman’s needs: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
Potent topical steroids are the gold standard for preventing and treating labial fusion due to lichen sclerosus. For further guidance, see NICE BNF.