9 responses to “Help – the steroids are not working – Helping women with refractory vulvar lichen sclerosus”

  1. Excellent, well written article.

  2. Very interesting and informative article with practical approach.

  3. Helpful review of the subject

  4. Agree with all of the above comments. Table 1 with instructions to patients will be very helpful. I would like to make copies and hand them out to patients

  5. Please download the patient education handout for lichen sclerosus at bcvulvarhealth.ca under health information – it has this table and other instructions for patients.

  6. thank you

  7. Would the recommendations be the same for pediatric patients presenting with LS?

  8. Yes. Treatment of acute LS is similar. Maintenance therapy is recommended till at least puberty. Potency of steroid can be reduced.
    Here is good review of Pediatric Lichen sclerosus.

  9. Any suggestions for managing fissures and tears? (Other than the obvious, preventing them by using steroid as directed and avoiding constipation).
    Suggestions as to how to keep steroid ointment from migrating to normal skin?

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