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Lichen sclerosus is a chronic inflammatory skin condition that most commonly affects the vulva, groin, and perianal region of postmenopausal women. The estimated prevalence ranges from 1 in 30 elderly women to 1 in 1, patients referred to a dermatologist. Severe cases of vulvar lichen sclerosus can significantly impair the quality of life that patients have, as it often negatively affects women physically, mentally, and emotionally. In addition to an autoimmune factor, it appears that genetics has a pathogenetic role as well. In mild cases, erythema may be the only sign present; however, in more severe cases, inflammation, subepithelial hemorrhages, and chronic ulceration may be evident. A differential diagnosis should include, but is not limited to: localized scleroderma, cutaneous discoid lupus erythematous, atrophic lichen planus, lichen simplex chronicus, vitiligo, mucous membrane pemphigoid, anal fissures and hemorrhoids, candidiasis, estrogen deficiency, and vulvar intraepithelial neoplasia.
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Low estrogen and its effects on vaginal health
Vaginal Cracking | MedGuidance
The vulva is the external part of a woman's genitals. Some problems you can have with the vulvar area include. Symptoms may include redness, itching, pain, or cracks in the skin. Treatment depends on the cause.
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Vulvar skin care guidelines
Severe vaginal tears called lacerations are often caused by childbirth; but smaller vaginal cuts sometimes referred to as micro-cuts are very common. Vaginal cuts can occur from a wide range of underlying causes; but the most common cause of vaginal cuts is having sex, usually without proper lubrication. Symptoms of vaginal cuts may include:.
Last Updated: February 26, References. This article was medically reviewed by Lacy Windham, MD. There are 37 references cited in this article, which can be found at the bottom of the page.