Can you have sex with active lichen sclerosus?
Sex is possible with active lichen sclerosus, but it may be uncomfortable or painful, especially if there is active inflammation, fissuring, or scarring. It is best to wait until symptoms are controlled if possible.
Detailed Medical Explanation
Lichen sclerosus can cause pain, dryness, and splitting of the skin, particularly during a flare. Engaging in sex when the skin is inflamed may worsen symptoms and delay healing. If sex is attempted, use a generous amount of fragrance-free, water-based lubricant and communicate openly with your partner. For persistent pain or emotional distress, seek medical advice. More at NHS and BAD.
Clinical Context
Our clinic offers guidance on managing symptoms and enjoying a safe, comfortable sex life: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
Clinical guidance recommends treating symptoms before resuming penetrative sex. For more, see NHS.