Does lichen sclerosus affect sexual intercourse?
Yes, lichen sclerosus can significantly affect sexual intercourse by causing pain, dryness, tightness, and sometimes fear of intimacy. Early diagnosis and management can help reduce sexual difficulties.
Detailed Medical Explanation
Lichen sclerosus can cause vulval pain (dyspareunia), burning, and loss of elasticity, leading to discomfort or avoidance of sexual activity. Scar tissue may narrow the vaginal opening, making intercourse painful or impossible in severe cases. Addressing both physical and psychological impacts is vital. More at NHS and British Association of Dermatologists.
Clinical Context
Sexual health support, pelvic floor therapy, and medical treatment can restore comfort and intimacy. Our clinic offers specialist care for women experiencing sexual difficulties: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
Prompt use of potent topical steroids, emollients, and multidisciplinary support is recommended. See NICE BNF.