If you’ve been caught in an endless cycle of itching and scratching that’s caused your vulvar skin to become thick, leathery, and even more itchy, you may have lichen simplex chronicus. This condition can be frustrating and difficult to break without proper treatment.
At The Women’s Health Vulvo-Vaginal & Genitourinary Clinic, we specialise in diagnosing and treating lichen simplex chronicus. Our team can help you break the itch-scratch cycle and restore your skin’s health.
You may have lichen simplex chronicus if you experience:
If this sounds familiar, it’s time for a specialist assessment.
Lichen simplex chronicus often develops on top of another condition, such as eczema, psoriasis, or contact dermatitis. Treating the underlying condition is essential.
Sensitivity to:
Excessive sweating, tight clothing, or activities that cause friction can trigger the itch-scratch cycle.
Stress doesn’t cause the condition, but it can worsen itching and increase the urge to scratch, perpetuating the cycle.
Sometimes scratching becomes a habit, continuing even after the initial trigger has resolved.
Low oestrogen levels, particularly after menopause, can make the skin more susceptible to irritation and itching.
We’ll discuss:
A careful examination will reveal:
We’ll work with you to identify and remove potential irritants and allergens from your routine.
Treatment for lichen simplex chronicus may include:
A: With proper treatment, most women notice improvement within 2-4 weeks. However, it can take several months for the skin to fully heal and return to normal thickness.
A: Yes, with successful treatment and avoidance of further scratching, the thickened skin will gradually return to its normal texture and colour.
A: Itching often worsens at night due to increased skin temperature and fewer distractions. Taking an antihistamine before bed and wearing cotton gloves can help prevent unconscious scratching.
A: Lichen simplex chronicus itself is not dangerous, but it’s important to identify and treat any underlying conditions that may be contributing to the itching.
A: Yes, stress can lower your itch threshold and increase the urge to scratch. Managing stress through relaxation techniques can be an important part of treatment.
