Fusion of the prepuce over the glans clitoris and loss of the labia minora, along with whitened plaque and crinkled whitened skin, with patches of post inflammatory hyperpigmentation indicate lichen sclerosus.

The prepuce is completely stuck to the buried clitoris. The white, cigarette-paper tissue surrounding the vaginal opening, the absence of labia minora, and the faint shadow of post-inflammatory hyperpigmentation tell the story of untreated lichen sclerosus.

Fusion of the prepuce in lichen sclerosus
Absence of the labia minora
Note the “figure of eight” of whitened skin surrounding the vulva and anal area.