How long does steroid treatment take to work for lichen sclerosus?
Most women see significant improvement in itching and discomfort within a few days to weeks of starting steroid treatment. Full resolution of skin changes may take several weeks to a few months.
Detailed Medical Explanation
Itching, soreness, and pain typically improve within 1–2 weeks of starting clobetasol or betamethasone. The white patches and skin thickening may take 8–12 weeks or more to resolve fully. Continued use and maintenance dosing are needed to prevent recurrence. Some chronic changes, such as scarring, may not be reversible. Treatment response is monitored during clinic visits. More at NICE BNF and British Association of Dermatologists.
Clinical Context
Prompt improvement in symptoms is reassuring. Our clinic supports women with reviews and advice throughout the treatment course: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
Standard protocols recommend a 12-week course of potent steroids, then tapering to maintenance. Consistent application and monitoring are key. Full advice at NICE BNF.