Lichen Planus of the Vulva: Symptoms, Causes, and Treatment
Lichen planus can affect the skin as well as mucous membranes. When it involves the vulva, symptoms may persist for a long time and can affect everyday comfort and sexual health. We spoke to Dr Pooja C Thukral, Associate Director – Department of Obstetrics and Gynaecology at Cloudnine Group of Hospitals, Faridabad, to understand more about vulval lichen planus and how it can be managed.
According to Dr Pooja C Thukral, women may experience itching, burning, soreness or pain during sexual intercourse. The condition may also cause redness, raw areas or visible changes in the appearance of the vulval skin. If the vagina is involved, some women may also notice unusual vaginal discharge or bleeding.
What Causes Lichen Planus of the Vulva?The research is still underway to determine the exact cause of lichen planus. Certain evidence points towards abnormal immune responses. Such reactions may cause inflammation in the affected tissues. Dr Pooja C Thukral explains that certain medicines and other immune-related factors may sometimes trigger reactions that are similar to lichen planus.
It is important to remember that vulval lichen planus is not contagious. It is not caused by an infection. Therefore, it won't spread to others through contact.
How Is Vulval Lichen Planus Diagnosed?Your doctor may perform a physical examination of your vulval skin. They will also assess any changes in the skin and mucous membranes. However, the symptoms may overlap with other vulval conditions. So, your doctor may advise further testing, as the diagnosis may not be confirmed based on symptoms alone. Dr Pooja C Thukral says that certain cases may require a skin biopsy to confirm or rule out this condition. During a biopsy procedure, a small sample of affected tissue is examined under a microscope. The biopsy report may help distinguish lichen planus from other conditions that are associated with similar symptoms. An accurate diagnosis is crucial because it will guide the treatment planning.
How Is Lichen Planus of the Vulva Treated?Treatment focuses on the following goals:
Inflammation reduction Symptom control Prevention of complications such as scarring or narrowing of affected tissues According to Dr Pooja C Thukral, prescription corticosteroid creams or ointments are commonly used as a first-line treatment. Other medicines may be considered when symptoms continue despite treatment or when the disease is more severe.
Treatment may need to continue for some time because vulval lichen planus can be a long-lasting condition. Regular follow-up can also help monitor the response to treatment and identify changes in the affected area.
Dr Pooja C Thukral emphasises that you should consult your doctor if you are suffering from the following signs:
With appropriate treatment and monitoring, symptoms can often be controlled, helping improve comfort and quality of life.
You’re not alone in your journey when trying to conceive. Join our supportive community to connect with others, share experiences, and find encouragement every step of the way.
FAQs on Lichen Planus of the Vulva: Symptoms, Causes, and TreatmentIs vulval lichen planus contagious?
No. Vulval lichen planus is an inflammatory condition and is not contagious. It cannot be passed to another person through sexual contact. Can lichen planus cause pain during sex?
Yes. Vulval lichen planus may cause soreness, burning, inflammation or pain during sexual intercourse. Vaginal involvement and scarring may also contribute to discomfort. Can vulval lichen planus be cured?
Lichen planus can be a chronic condition, so treatment mainly focuses on controlling inflammation, relieving symptoms and preventing complications. Regular follow-up can help manage the condition over time.
According to Dr Pooja C Thukral, women may experience itching, burning, soreness or pain during sexual intercourse. The condition may also cause redness, raw areas or visible changes in the appearance of the vulval skin. If the vagina is involved, some women may also notice unusual vaginal discharge or bleeding.
What Causes Lichen Planus of the Vulva?The research is still underway to determine the exact cause of lichen planus. Certain evidence points towards abnormal immune responses. Such reactions may cause inflammation in the affected tissues. Dr Pooja C Thukral explains that certain medicines and other immune-related factors may sometimes trigger reactions that are similar to lichen planus.
It is important to remember that vulval lichen planus is not contagious. It is not caused by an infection. Therefore, it won't spread to others through contact.
How Is Vulval Lichen Planus Diagnosed?Your doctor may perform a physical examination of your vulval skin. They will also assess any changes in the skin and mucous membranes. However, the symptoms may overlap with other vulval conditions. So, your doctor may advise further testing, as the diagnosis may not be confirmed based on symptoms alone. Dr Pooja C Thukral says that certain cases may require a skin biopsy to confirm or rule out this condition. During a biopsy procedure, a small sample of affected tissue is examined under a microscope. The biopsy report may help distinguish lichen planus from other conditions that are associated with similar symptoms. An accurate diagnosis is crucial because it will guide the treatment planning.
How Is Lichen Planus of the Vulva Treated?Treatment focuses on the following goals:
Treatment may need to continue for some time because vulval lichen planus can be a long-lasting condition. Regular follow-up can also help monitor the response to treatment and identify changes in the affected area.
Dr Pooja C Thukral emphasises that you should consult your doctor if you are suffering from the following signs:
- Persistent sores
- New lumps
- Areas that do not heal
With appropriate treatment and monitoring, symptoms can often be controlled, helping improve comfort and quality of life.
You’re not alone in your journey when trying to conceive. Join our supportive community to connect with others, share experiences, and find encouragement every step of the way.
FAQs on Lichen Planus of the Vulva: Symptoms, Causes, and Treatment
No. Vulval lichen planus is an inflammatory condition and is not contagious. It cannot be passed to another person through sexual contact.
Yes. Vulval lichen planus may cause soreness, burning, inflammation or pain during sexual intercourse. Vaginal involvement and scarring may also contribute to discomfort.
Lichen planus can be a chronic condition, so treatment mainly focuses on controlling inflammation, relieving symptoms and preventing complications. Regular follow-up can help manage the condition over time.
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