What is vulvar lichen sclerosus and how to treat it?
Vulvar lichen sclerosus is a chronic skin condition affecting the vulva, causing white patches, itching, discomfort, and sometimes pain. It is best treated with potent topical steroids, such as clobetasol propionate, and supportive skin care.
Detailed Medical Explanation
Vulvar lichen sclerosus leads to thinning, whitening, and fragility of the vulval skin. Common symptoms are itching, burning, tearing, and pain during sex. Potent topical steroids, such as clobetasol propionate 0.05%, are the first-line treatment. Regular emollients, gentle cleansing, and avoidance of irritants are also important. With consistent management, symptoms often improve and complications are minimised. More at NHS and British Association of Dermatologists.
Clinical Context
Vulvar lichen sclerosus is common in postmenopausal women but can affect any age. Our clinic provides diagnosis, education, and ongoing support: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
Potent topical steroids are supported by strong clinical evidence. Regular follow-up ensures treatment success. For guidelines, see NICE BNF.