Can lichen sclerosus affect the clitoris specifically?
Yes, lichen sclerosus can involve the clitoral hood and clitoris itself, causing white patches, scarring, or even “burying” of the clitoris in advanced cases. Early treatment helps preserve clitoral health and function.
Detailed Medical Explanation
Chronic inflammation may lead to scarring and fusion of the clitoral hood over the clitoris (clitoral phimosis), resulting in loss of sensitivity and sexual dysfunction. It can also cause discomfort or pain. Timely diagnosis and ongoing treatment with potent topical steroids can prevent progression. More at NHS and BAD.
Clinical Context
Our clinic provides assessment and early intervention for all vulval and clitoral symptoms: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
Potent topical steroids are effective in preventing clitoral scarring and dysfunction. For guidelines, see NICE BNF.