Does lichen sclerosus lead to dyspareunia?
Yes, lichen sclerosus is a skin condition that commonly causes vulval pain, scarring, and chronic dyspareunia, especially if untreated.
Detailed Medical Explanation
Lichen sclerosus causes thinning, whitening, and fragility of the vulval skin, often resulting in pain, tearing, itching, and pain with intercourse. Early diagnosis and potent topical steroids are key to control symptoms and prevent scarring. NHS: Lichen Sclerosus.
Clinical Context
Women with persistent vulval itching or pain should be examined by a clinician, as prompt treatment improves sexual outcomes and quality of life.
Evidence-Based Approaches
NHS and BSSVD recommend lifelong maintenance and regular review of lichen sclerosus. Early treatment can prevent complications. NHS: Lichen Sclerosus.