Vittrup G, Mørup L, Heilesen T, et al. - A considerable influence of lichen sclerosus (LS) was suggested on the sexual functioning and quality of life of women. Hence consideration of the psychological and social aspects is recommended along with the biological aspects.

• This cross-sectional study was performed including 158 women (mean age 47 years (18–76)) diagnosed with LS.

• On all ‘Female Sexual Function Index (FSFI)’ scales, the women scored low indicating decreased sexual functioning; their mean score on FSFI was 13.83; scores following sub-group evaluation were: Desire 2.32; arousal 2.23; lubrication 2.39; orgasm 2.28; satisfaction 3.02; pain 1.59.

• A mean score of 7.88 was attained on DLQI, indicating a moderate effect on the women's everyday life; following were the mean sub-scores: treatment 0.32; sexual difficulties 1.56; relations 1.02; work/study 0.34; sport 0.45; social activities 0.54; clothing 0.89; shopping 0.22; embarrassment 0.99 and itching, soreness and pain 1.55.

• A mean score of 56.66 was identified for the WHO-5 Well-Being Index indicating the presence of signs of depression in 40% of the women.