Help – the steroids are not working – Helping women with refractory vulvar lichen sclerosus

Help – the steroids are not working – Helping women with refractory vulvar lichen sclerosus

Lichen sclerosus (LS) is a chronic skin disorder with a remitting and relapsing clinical course. Women commonly present with severe vulvar itch and an urge to scratch the skin. The recommended treatment is a course of topical steroids. Most women will improve with treatment. However, some will report, “the steroids did not help”. Here are some practice tips to help.