Can lichen sclerosus affect vaginal delivery?
Lichen sclerosus usually does not prevent vaginal delivery. However, severe scarring or adhesions from untreated disease may increase the risk of tears or require a specialist delivery plan.
Detailed Medical Explanation
Most women with lichen sclerosus have a normal vaginal delivery. In rare cases, narrowing of the vaginal opening from chronic scarring may make delivery more challenging. Obstetric teams may plan ahead and advise a caesarean if needed. For NHS pregnancy and delivery guidance, see NHS.
Clinical Context
We develop individualised birth plans for women with vulval conditions: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
Most women deliver vaginally without complications. NHS advice: lichen sclerosus and pregnancy.