What are the side effects of steroid treatment for lichen sclerosus?
When used as directed, side effects of topical steroid treatment for lichen sclerosus are rare. However, long-term or incorrect use can lead to skin thinning, stretch marks, and increased risk of infection.
Detailed Medical Explanation
Side effects from potent topical steroids like clobetasol or betamethasone can include skin atrophy (thinning), striae (stretch marks), telangiectasia (small blood vessels), delayed wound healing, and, very rarely, systemic absorption leading to suppression of natural steroid production. The risk is minimal when used under specialist supervision with proper dosing. Most women tolerate treatment well. Always report new or worsening symptoms to your doctor. Further reading: NICE BNF and NHS medicines information.
Clinical Context
Our clinic provides guidance on safe use, regular reviews, and prompt support if side effects occur: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
International guidelines support the use of potent steroids as first-line therapy due to their high efficacy and low risk profile when used appropriately. For a full side effect list, see NICE BNF.