Therefore, this paper will focus on visible lesions of the vulva that may mimic cancer. Tips on office evaluation and biopsy techniques are discussed, as well as basic treatment strategies. It causes thinning of the vulvar tissue with edema and fibrosis. If untreated, the labia may fuse together, the clitoris may shrink, and the introitus may become stenotic. Fissures may be present.
Bilateral symmetry is common.
Some patients are asymptomatic, while others report pruritus, painful intercourse, and anorgasmia from clitoral shrinkage. There is a familial tendency. Pathologists identify lichen sclerosus by hyperkeratosis, edema, loss of vascularity, and loss of rete ridges. Treatment has changed somewhat over the years. This disorder may require a lifetime of treatment, including either high-potency steroids once or twice weekly, or over the counter steroids every night.