How Can You Prevent Lichen Sclerosus Flare-Ups?

By: Dr. Carolyn DeLucia

6/14/2025

Living with lichen sclerosus is challenging, but managing flare-ups doesn't have to feel overwhelming. Through corticosteroid creams and moisturizers, avoiding irritants, trying treatments like laser therapy and the O-Shot®, and staying on top of follow-ups with a doctor, you can control lichen sclerosus symptoms and improve your quality of life.  

Below, we provide a comprehensive guide to understanding this vulvar disorder and share practical strategies to help prevent flare-ups. Call now to meet Dr. Carolyn DeLucia, a board-certified obstetrician and gynecologist at The Secret Orchid in Hillsborough Township, NJ. 

What is lichen sclerosus? 

So, what is lichen sclerosus? This inflammatory skin condition primarily affects the genital area, but it can also develop on other parts of the body. It's more common in post-menopausal women, though men and younger women can also be affected. 

While the exact cause of lichen sclerosus is unknown, it's believed to be linked to autoimmune factors, hormonal changes, or potential genetic predispositions. More importantly, the condition is not contagious and cannot be spread through physical contact. 

What are some common lichen sclerosus symptoms? 

Symptoms of lichen sclerosus vary among patients, but common signs include:  

  • Vaginal itching and discomfort: Vaginal itching and discomfort are among the earliest signs of lichen sclerosus. The itching can be mild to severe and accompanied by a burning sensation or pain. 
  • Appearance of white patches: Lichen sclerosus causes small, shiny white spots on the skin that may grow into bigger patches over time. These patches typically have a smooth, wrinkled appearance. 
  • Tearing or bleeding: Due to the thinning and tightening of the skin caused by lichen sclerosus, tears or small cuts may appear in the affected areas. In some cases, these tears lead to bleeding. 
  • Painful intercourse: Lichen sclerosus can cause the vaginal opening to narrow and scar tissue to form, making sexual intercourse painful or impossible. This can also lead to problems with urination. 

If you are experiencing lichen sclerosus symptoms in Hillsborough Township, NJ, see a trusted healthcare provider as soon as possible for proper diagnosis and treatment. 

Lichen sclerosus treatment and prevention 

Although there is no cure for this vulvar disorder, there are ways to manage symptoms and prevent flare-ups:  

  • Corticosteroid creams: Prescription corticosteroid creams are often the first-line treatment for lichen sclerosus. These creams reduce inflammation, soothe itching, and help repair damaged skin. 
  • Moisturizers: Fragrance-free, gentle moisturizers form a protective barrier against friction. They also keep the skin from becoming too dry or irritated. 
  • Avoiding irritants: Avoid using scented soaps on the affected area. Choose breathable fabrics like cotton underwear to reduce friction and keep the vaginal area cool and dry. 
  • Laser therapy (FemiLift) and the O-Shot: For patients whose symptoms persist despite traditional treatments, advanced options like laser therapy and the O-Shot may provide relief. Laser therapy regenerates collagen and improves skin elasticity, while the O-Shot (a platelet-rich plasma treatment) promotes healing and rejuvenation. 
  • Staying on top of follow-ups: Consistency is key when managing lichen sclerosus. Regular follow-up visits with Dr. DeLucia ensure that your condition can remain under control. 

Get personalized care for lichen sclerosis 

You don't have to manage vaginal itching and discomfort alone. If you have questions such as, "What is lichen sclerosus?" or want to speak with a healthcare provider, The Secret Orchid can provide compassionate care in Hillsborough Township, NJ. 

Don't wait to start feeling better from this vulvar disorder. Meet with board-certified obstetrician and gynecologist Dr. Carolyn DeLucia and take the first step toward lichen sclerosus treatment.

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.