How does lichen sclerosus affect sexual intimacy?
Lichen sclerosus can significantly impact sexual intimacy, causing pain, tightness, fear of discomfort, and reduced confidence. Early diagnosis and treatment are key to preserving sexual wellbeing.
Detailed Medical Explanation
Lichen sclerosus causes thinning and fragility of vulval skin, which can lead to pain (dyspareunia), tearing, dryness, and reduced elasticity. This often results in avoidance of intimacy, loss of confidence, and emotional distress. Supportive care includes medical treatment, sexual counselling, and couple support. For more details, see NHS and BAD.
Clinical Context
Our clinic offers multidisciplinary support, including sexual therapy and education for women and couples: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
Treating the skin disease and providing psychological support improves intimacy outcomes. More at NICE BNF.