Blood Blister on Labia Majora

If you have a blood blister on your labia majora you may have a chronic skin disorder called Lichen sclerosus. In most cases, it can persist for years, and cause permanent scarring.

This disorder is ten times more common in women than in men. It can start at any age, although it is most often seen in women over 50. It may cause no symptoms but it can be itchy, sometimes severely so. It can develop after an injury to the affected area. It may follow or co-exist with another skin condition such as lichen simplex, candidiasis or erosive lichen planus.

The disorder results in a white thickening of the skin of the vulva. It can be localized to one small area or involving the perineum, labia majora, labia minora, fourchette and clitoris. Sometimes the clitoris disappears, the labia lips can shrink and the entrance to the vagina tightens.

The affected skin can be unbearably itchy and sore. Sometimes bruises, blood blisters and ulcers appear, after scratching, or on their own.

Diagnosis

If you doctor examines you and believes that you have Lichen sclerosus, he or she may want a skin biopsy to confirm the diagnosis.

Treatment

Topical steroid creams or ointments can be helpful. They should be applied very accurately to the affected areas for a few weeks or months. Over use of steroid creams can result in skin thinning; it is very important that you follow the instructions carefully and to attend follow-up appointments regularly.

If the vaginal opening has narrowed, it may need gentle stretching using dilators. Rarely, surgery is necessary to allow sexual intercourse. Unfortunately, the lichen sclerosus sometimes closes up the vaginal opening again after surgery has initially appeared successful.

Surgery to remove the entire vulva is reserved for the most severe cases or if there is vulvar cancer or pre-cancer.

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