Lichen Sclerosus and Sexual Health
Understanding Intimacy, Comfort, Communication, and Quality of Life
Lichen Sclerosus can affect much more than the skin.
For many people, LS can influence intimacy, sexual confidence, relationships, body image and emotional wellbeing. Pain, itching, burning, fissures, skin fragility and scarring may make sexual activity uncomfortable or stressful.
Research has consistently shown that sexual health is an important part of the overall impact of Lichen Sclerosus. A systematic review and meta-analysis found that approximately 59% of women included in the analyzed studies experienced some form of sexual dysfunction, with pain during intercourse among the most commonly reported problems.
More recent research has also demonstrated sexual-health challenges in both women and men with genital LS.
Why Can LS Affect Sexual Activity?
Several factors may contribute to sexual difficulties.
These may include:
- Pain or burning
- Itching and irritation
- Skin fissures
- Dryness
- Scarring
- Changes in genital anatomy
- Fear of pain or injury
- Anxiety
- Reduced sexual confidence
- Relationship concerns
The experience is different for every person.
Managing Intimacy With Lichen Sclerosus
Sexual activity should not be viewed as something that a person must simply tolerate despite pain.
If sexual activity causes pain, burning, bleeding or significant irritation, it is important to discuss these symptoms with a healthcare professional.
Depending on the individual’s situation, medical management and appropriate supportive strategies may help.
Communication With Your Partner
Open communication can make an important difference.
Partners may have questions or concerns about:
- Whether LS is contagious
- Whether sexual activity can worsen symptoms
- How to avoid discomfort
- How to communicate when something hurts
- How intimacy can be maintained during a flare
Talking openly can reduce misunderstanding and anxiety.
Timing and Treatment
Some individuals may have questions about whether topical medications should be applied before or after sexual activity.
Medication schedules should follow the instructions provided by the prescribing healthcare professional.
There is no universal schedule that is appropriate for every person or every medication.
Comfort and Lubrication
Depending on individual symptoms and medical advice, appropriate lubrication may help reduce friction during sexual activity.
However, products containing fragrances, irritating ingredients or other substances that trigger symptoms may be unsuitable.
If a product causes burning or irritation, stop using it and discuss alternatives with a healthcare professional.
When Sex Is Painful
Pain during sex should not simply be accepted as an unavoidable part of living with LS.
Persistent pain may indicate:
- Active inflammation
- Fissuring
- Scarring
- Skin fragility
- Pelvic-floor involvement
- Another condition requiring evaluation
Appropriate treatment of the underlying condition may improve sexual wellbeing.
Research has also shown that psychosexual counseling can improve sexual functioning and quality of life in women with LS.
Emotional Wellbeing and Sexual Health
Sexual difficulties can affect confidence, relationships and mental wellbeing.
Recent research has found associations between LS symptoms, anxiety, psychological distress and quality of life.
Seeking emotional or relationship support is therefore not a sign that the problem is “just psychological.”
LS can affect both physical and psychological wellbeing, and both deserve attention.
O-Shot® and Emerging Sexual-Health Treatments
The Lichen Sclerosus Guidebook also discusses emerging and complementary approaches related to sexual wellbeing, including the O-Shot®.
Because evidence for some sexual-health procedures and regenerative approaches remains limited, patients should discuss potential benefits, risks, costs and alternatives with qualified healthcare professionals before undergoing treatment.
Remember
You deserve to have your sexual-health concerns taken seriously.
If LS is affecting intimacy, tell your healthcare professional. Sexual health is an important component of overall quality of life—not something that needs to be ignored.