<unk>  on an 82-year-old woman, showing an ivory white coloring in the vulva, and also stretching downward to the perineum.<unk>  can occur without symptoms. White patches on the<unk>  body area, itching, pain, dyspareunia (in genital<unk> , easier bruising, cracking, tearing and peeling, and hyperkeratosis are common symptoms in both men and women. In women, the condition most commonly occurs on the vulva and around the anus with ivory-white elevations that may be flat and glistening. In males, the disease may take the form of whitish patches on the foreskin and its narrowing (preputial stenosis), forming an "indurated ring", which can make retraction more difficult or impossible (phimosis). In addition there can be lesions, white patches or reddening on the glans. In contrast to women, anal involvement is less frequent. Meatal stenosis, making it more difficult or even impossible to urinate, may also occur. On the non-genital skin, the disease may manifest as porcelain-white spots with small visible plugs inside the orifices of hair follicles or sweat glands on the surface. Thinning of the skin may also occur. Psychological effect Distress due to the discomfort and pain of<unk>  is normal, as are concerns with self-esteem and sex. Counseling can help. According to the National Vulvodynia Association, which also supports women with<unk> , vulvo-vaginal conditions can cause feelings of isolation, hopelessness, low self-image, and much more. Some women are unable to continue working or have sexual relations and may be limited in other physical activities. Depression, anxiety, and even anger are all normal responses to the ongoing pain<unk>  patients suffer from.
Lichen sclerosus
Vulvar cancer
Lichen myxedematosus
Lichen nitidus
Tinea imbricata
Diabetic dermadrome
Lichen striatus
Lichen planus