ABSTRACT Key Content Lichen sclerosus (LS) is a common dermatosis that specifically affects the anogenital skin in women. LS is mostly seen in the postmenopausal age group, but it can develop during childhood or in the reproductive years. It is important for obstetricians and women's healthcare providers to be able to advise on genetic counselling, pregnancy, mode of birth, post‐partum treatment and breastfeeding as part of comprehensive care for women with LS. This review summarises the available literature on these topics, including clinical features and evidence‐based management; disease course and management of LS during pregnancy; and differential diagnosis of post‐partum vulval symptoms and their management. Learning Objectives To recognise the clinical features of lichen sclerosus. To understand that pregnant women can continue topical corticosteroids throughout pregnancy and the post‐partum phase. To understand that the mode of birth can be planned according to standard obstetric indications. To recognise that there may be a requirement for increased application of topical corticosteroid during the post‐partum period. To understand that low‐dose intravaginal estradiol may help to improve the atrophic symptoms experienced in the post‐partum period.
Lewis et al. (Thu,) studied this question.