Are there non-steroid treatments for lichen sclerosus?
Yes, non-steroid treatments for lichen sclerosus include topical calcineurin inhibitors, emollients, laser therapy, and lifestyle modifications. However, potent topical steroids remain the gold standard for first-line therapy.
Detailed Medical Explanation
While topical steroids are most effective, alternative treatments are considered for women who cannot tolerate steroids or wish to minimise steroid use. Options include tacrolimus or pimecrolimus ointment, regular application of emollients, and in some clinics, laser or photodynamic therapy. Lifestyle adjustments (gentle cleansing, avoiding irritants) are important adjuncts. These options should be discussed with a specialist. See NICE BNF and British Association of Dermatologists.
Clinical Context
Non-steroid therapies are considered for selected women and require expert input. Our clinic advises on the safest and most effective personalised approach: Vulval Skin Conditions Clinic.