How to treat lichen sclerosus naturally without steroids?
While steroid creams are the gold standard for lichen sclerosus, some women seek natural or complementary approaches. Options include using emollients, avoiding irritants, and maintaining good vulval hygiene. Always discuss with a healthcare professional before choosing non-steroid methods, as untreated lichen sclerosus can lead to complications.
Detailed Medical Explanation
Natural management of lichen sclerosus focuses on reducing irritation and improving skin comfort. Emollients such as plain petroleum jelly or medical-grade moisturisers can soothe dry skin and create a barrier. Wearing breathable cotton underwear, avoiding scented products, and gentle cleansing are recommended. Some small studies suggest potential benefit from vitamin E oil or coconut oil, but robust clinical evidence is lacking. It is important to note that natural remedies do not replace medical therapy in moderate or severe cases, and delaying effective treatment may worsen outcomes. For more details, consult the NHS guidance.
Clinical Context
Some women may not tolerate steroids or wish to minimise their use. Supportive measures such as good vulval skincare, avoiding irritants, and gentle washing are crucial. If symptoms persist or worsen, medical assessment is needed. Our clinic offers individualised support for those preferring non-steroid care: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
Topical corticosteroids remain the most effective, evidence-based treatment. Natural methods can be used as adjuncts but should not be relied upon solely. Regular review and biopsy (if required) are recommended to monitor for complications. See British Association of Dermatologists advice.