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Unfortunately, lichen planus is persistent and likely to require long-term maintenance treatment. What causes vulvar pain? In most areas of the body, lichen planus causes itchy purple bumps sometimes streaked with white. You should also call your healthcare provider if you experience additional symptomssuch as abnormal vaginal and anal itching or vaginal and anal itching. Treating underlying conditions such as psoriasis or eczema with emollient creams and topical medications can help relieve symptoms. Stewart, M. Lichen sclerosus might not cause any symptoms in the beginning, but as it progresses, you may notice:.