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There are specific conditions that affect menopausal women and target the vulvar skin (the skin around the vaginal opening). One common condition that affects the vulva is lichen sclerosus (which affects 1 in 300 women). Lichens sclerosus is a dermatologic condition that presents with white spots that turn into patches on the vulvar skin. Symptoms are itching, pain, bleeding and sometimes scarring. While not contagious, it can be difficult to treat. Doctors are reporting success treating lichens sclerosus with the MonaLisa Touch Laser.