Vulvar lichen sclerosus cannot be cured. Vulvar lichen sclerosus is also known as vulvar sclerosis and is mainly characterized by atrophy, thinning, and depigmentation of the vulvar and perianal skin, turning it white. The symptoms mainly include vulvar itching and a burning sensation. Sometimes the skin may appear shiny, wrinkled, and less elastic, which can also lead to cracking and peeling. Treatment generally involves local medications and is primarily supported by physical therapy. While most treatments are effective, they are not curative and require repeated therapy.