If you've been diagnosed with vulva lichen planus, you may never have heard of it before. It's less well known than its cousin, lichen sclerosus, and good information can be hard to find. That can make an already uncomfortable condition feel lonely too.
Here's what lichen planus is, how it differs from lichen sclerosus, and how to look after your skin day to day.
What Is Lichen Planus?
Lichen planus is an inflammatory skin condition. It's thought to happen when the immune system mistakenly attacks the skin and the moist linings of the body, called mucous membranes. It isn't an infection, it isn't contagious, and it isn't caused by anything you did.
Lichen planus can affect the skin, the mouth, the scalp and nails, and the vulva and vagina. Some women have it in more than one place, most commonly the mouth and vulva together.
Symptoms of Vulva Lichen Planus
Symptoms vary, but may include:
- Burning, soreness or rawness
- Itching
- Red, shiny or raw looking patches, sometimes with a lacy white border
- Pain during sex
- Stinging when you wee
- A sticky or yellowish discharge if the vagina is involved
- Changes to the shape of the vulva over time, if left untreated
The most common type on the vulva is called erosive lichen planus. It causes raw, tender areas where the surface of the skin has broken down.
Lichen Planus vs Lichen Sclerosus
The two conditions have similar names and can look alike, but they're different.
| Lichen planus | Lichen sclerosus | |
|---|---|---|
| Main feeling | Burning, rawness and soreness | Intense itching |
| Typical look | Red, raw or shiny patches | White, thin, crinkly skin |
| Inside the vagina | Often involved | Rarely involved |
| Other areas | Can also affect the mouth, skin, scalp and nails | Mostly the vulva and surrounding skin |
| Long term care | Specialist treatment and regular review | Specialist treatment and regular review |
Some women have both. Because they're managed differently, getting the right diagnosis matters.
How Is It Diagnosed?
A doctor will usually examine the area and may take a small skin sample, called a biopsy, to confirm the diagnosis. You may be referred to a dermatologist or gynaecologist who specialises in vulva conditions. If you also have sores in your mouth, mention them, as this can help with diagnosis.
Medical Treatment
Lichen planus is a long term condition, but it can be well managed. Treatment is usually prescribed by a specialist and often includes a strong steroid ointment. Some women need other prescription treatments too.
Follow your specialist's plan carefully and keep up with regular check ups. Like lichen sclerosus, lichen planus needs ongoing review, because changes in the skin should be monitored over time.
Gentle Daily Care
Alongside your prescribed treatment, daily habits can make a real difference to comfort:
- Wash with water only. Avoid soap, bubble bath and shower gel.
- Pat, don't rub, when drying.
- Wear loose cotton underwear, and sleep without underwear if you can.
- Avoid scented products, including pads, wipes and laundry products.
- Rinse after weeing with a little warm water if stinging is a problem.
- Protect the skin with a gentle, plain oil or ointment to reduce friction.
Where Divine Fits
Divine by Elshka is a botanical vulva comfort oil made with certified organic ingredients. It contains no essential oils or fragrance, two of the most common triggers of irritation on sensitive vulva skin.
Divine isn't a treatment for lichen planus and doesn't replace your prescribed ointment. Some women use it alongside their treatment for daily comfort and to reduce friction. Because lichen planus can leave the skin raw, always patch test first, and ask your specialist how best to fit it around your prescribed treatment. If you notice any stinging or irritation, stop using it.
💗 Read more real reviews from Elshka customers
Looking After Yourself
A chronic condition in such a private place can take an emotional toll. Pain during sex, ongoing appointments and uncertainty can all weigh on you. Talking to someone you trust, whether a partner, friend, GP or counsellor, can help lighten the load.
FAQ
Q: What is the difference between lichen planus and lichen sclerosus?
A: Lichen planus usually causes burning and raw, red patches, and can affect the vagina and mouth. Lichen sclerosus usually causes intense itching and white, thin skin, and rarely affects the vagina.
Q: Is vulva lichen planus contagious?
A: No. It's an inflammatory condition, not an infection, and it can't be passed to a partner.
Q: Can lichen planus be cured?
A: There's no known cure, but it can be well managed with specialist treatment and gentle daily care.
Q: Can I use Divine with lichen planus?
A: Some women use Divine alongside their prescribed treatment for daily comfort. Patch test first and check with your specialist, especially if your skin is raw.
This post is general information, not medical advice, and is not intended to diagnose, treat, cure or prevent disease.
Further reading: Lichen Sclerosus: Symptoms, Triggers and How to Soothe the Skin · How to Talk to Your GP About Vulva Pain