Treating Vulvar Lichen Sclerosus: What Are Your Options?

First-Line Treatment: Topical Corticosteroids

The gold standard treatment for vulvar lichen sclerosus is a strong topical corticosteroid ointment. These are typically applied daily for about 3 months to get symptoms under control. After that, less frequent application is used for maintenance. This treatment can dramatically improve itching and skin appearance for many patients.

Other Medication Options

If corticosteroids aren't effective, your doctor may recommend calcineurin inhibitors like tacrolimus. These work by suppressing the immune response in the skin. For very stubborn cases, oral medications like acitretin or methotrexate might be considered. These have more side effects and require close monitoring.

Non-Medication Approaches

Proper vulvar care is important to minimize irritation. Use gentle, fragrance-free cleansers and avoid harsh soaps. Applying a moisturizer can help keep the skin hydrated. Some patients find relief from using special silk underwear. In severe cases with scarring, surgery may be an option to restore normal anatomy.

Frequently Asked Questions

Key Takeaways

While there's no cure for vulvar lichen sclerosus, treatment can effectively manage symptoms and prevent progression.

Related Articles

• What is Vulvar Lichen Sclerosus? A Chronic Skin Condition You Need to Know About
• Itching Down There? It Could Be Vulvar Lichen Sclerosus
• Are You at Risk for Vulvar Lichen Sclerosus? Key Factors to Consider
• Managing Vulvar Lichen Sclerosus: Expert Guidelines You Should Know

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