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Symptoms of Lichen Sclerosus Common symptoms include: White, patchy skin that appears thinner than normal Intense itching (often the first symptom) Discomfort or pain, especially during intercourse Easy bruising and tearing of skin Painful urination (if affecting genital area) Bleeding from fragile skin Scarring that can cause tissue fusion Smooth, shiny skin appearance Wrinkled or crinkled texture (cigarette paper appearance) Left untreated, lichen sclerosus can cause permanent scarring, narrowing of the vaginal opening, and in rare cases, increased risk of skin cancer in the affected area