Can lichen sclerosus cause painful penetration?
Yes, lichen sclerosus often causes painful penetration (dyspareunia) due to thinning, dryness, and scarring of the vulval skin. Prompt treatment improves comfort and protects against long-term problems.
Detailed Medical Explanation
Vulval lichen sclerosus makes the skin fragile and less elastic, causing microtears or even narrowing of the vaginal opening. Use of potent topical steroids, regular lubricants, and gentle sexual practices can reduce pain. Persistent pain should be discussed with a clinician. More information at NHS and BAD.
Clinical Context
Our clinic supports women with pain during sex, offering medical and psychosexual advice: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
Early, ongoing treatment reduces dyspareunia and improves quality of life. See NICE BNF.