What sexual positions work with lichen sclerosus?
Sexual positions that allow the woman to control the angle, depth, and speed of penetration—such as woman-on-top or side-lying—are usually more comfortable for those with lichen sclerosus.
Detailed Medical Explanation
Vulval skin affected by lichen sclerosus may be fragile and less elastic. Positions such as woman-on-top, side-by-side (spooning), or rear-entry with shallow penetration often give more control, reduce pain, and help prevent skin trauma. Liberal use of lubricant and open communication are important. For further advice, see NHS guidance on lichen sclerosus and sexual health.
Clinical Context
Our clinic offers practical tips for sexual comfort and psychosexual therapy if needed: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
Adjusting sexual practices and seeking guidance can improve comfort. NHS advice on sexual wellbeing can be found here.