Does lichen sclerosus get worse with age?
Lichen sclerosus can become more severe with age, especially after menopause, if not properly managed. Ongoing treatment and monitoring are important to prevent progression and complications.
Detailed Medical Explanation
Lichen sclerosus may progress over time, especially in women who do not receive appropriate treatment. After menopause, falling oestrogen levels and skin changes can lead to increased dryness and fragility, worsening symptoms. Long-standing, uncontrolled lichen sclerosus increases the risk of scarring, narrowing of the vaginal opening, pain, and rarely, cancer. Ongoing, evidence-based management helps maintain quality of life at all ages. Read more at NHS and British Association of Dermatologists.
Clinical Context
Lichen sclerosus is most common in postmenopausal women, but can occur at any age. Age-related changes may make management more challenging, but regular specialist care can control symptoms. Our clinic provides support at every stage of life: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
Regular use of potent topical corticosteroids is recommended for all ages. Monitoring and individualised care reduce risks. More guidance at NICE BNF.