Newly diagnosed and confused over treatment for lichen sclerosus

Posted by ronag @ronag, Jan 24, 2023

I've been diagnosed with lichen sclerosus. I have questions as to what is the best treatment: which steroid and at what dosage. My gynecologist initially prescribed mometasone cream 0.1% twice a week. This didn't really control the itching. My dermatologist is recommending clobetasol ointment 0.05% once a day for 2 months, followed by twice weekly forever. Itching, while not completely gone, is certainly more controlled after a week's treatment with the clobetasol. However, I'm a bit concerned over using it daily for 2 months. Can you please share what's worked for you? Can I expect to be using a steroid for life? To throw into the mix--I have long covid. Thank you for any help in navigating this.

Interested in more discussions like this? Go to the Autoimmune Diseases Support Group.

Profile picture for hungryhat64 @hungryhat64

Thank you for sharing your experience with coconut oil, wipes, and cream. Can you share what brand of these products you use, I would be grateful. Thanks

Jump to this post

I use coconut oil on Amazon that is solid(waxy) at room temp and organic. Brand is not important.
I also use botanical coconut oil makeup wipes used to wipe genital area. Yellow package , 60/ package.
Sometimes available at Marshalls, always on Amazon.

REPLY
Profile picture for fehrlady @fehrlady

I use coconut oil on Amazon that is solid(waxy) at room temp and organic. Brand is not important.
I also use botanical coconut oil makeup wipes used to wipe genital area. Yellow package , 60/ package.
Sometimes available at Marshalls, always on Amazon.

Jump to this post

I can only find on Amazon Europe & Ireland as closest region to me Biona Organic Pure coconut. You mentioned cream as well? is this different to the Coconut oil? Would be most appreciative for any more detail information. Also Botanicals makeup wipes must be on US site, as cannot find on Amazon other sites.

REPLY

Sorry about the wipes, because they are soothing. Opt for the coconut oil, but the cream may have too many additives.

REPLY

I am new to LS diagnosis. Can you all explain how coconut oil can work instead of a super strong steroid? What exactly is the steroid doing-reducing inflammation? Is the steroid cream preventing cancer? Can the coconut oil achieve the same thing? My dr. gave me literature that specifically said to not use anything else...no moisturizers, no other creams-just the steroid. Also there were instructions about not washing everyday and when I do wash only use water. I appreciate each of you for your help. This is quite a bit to learn about. Thank you all so much!

REPLY
Profile picture for echapman @echapman

Do read the side effects of anything you use. Ask questions from professionals who know your health. Question manufacturers of products regarding their products. Personally I've found relief from using Lisepten. While everyone's situation and health can be different, this product has worked wonders and is the only thing I've used for years with fantastic results. It's not the end of the world and you've done nothing wrong. It's just what it is and now how do you best deal with it. I wish you well and know that you are far from alone.

Jump to this post

@echapman
Your suggestions are so practical they are very helpful!
"It's not the end of the world and you've done nothing wrong. It's just what it is and now how do you best deal with it."
I've lived with 35 years of chronic disabling autoimmune illness and LS in the past year has thrown me for a loop. In fact, I found myself feeling sorry for myself for the first time because of it.
Your post helps me remember that I've been through so much, plus a cancer survivor and will learn to cope with LS also.
100% of my struggles have depended on a change of attitude to learn to cope. That's where I end up finding "fantastic results,:"
Thank you for your post!

REPLY
Profile picture for bluesmoke @bluesmoke

Yes, I've had flares just inside vagina so very painful, that's where mine flares up most often I've also had tears in perineum that takes weeks to heal. I have felt so alone in my suffering over the years that I know it has changed me as a person because unless you have this condition you can't imagine the pain and the itching it brings. Every time I get a flare, I feel defeated and worn out.

Jump to this post

You really capture the feelings that have gone along with LS for me. I have Sjogrens Syndrome, many years, and thought it was dryness, itching from that. When I checked with my gynecologist, she told me these were "fissures" not just dryness. I felt discouraged and except for this forum, no one! wants to hear about a vulvar condition. I have other autoimmune, am a cancer survivor, but this is awful.

"Every time I get a flare, I feel defeated and worn out." I'm sorry for your suffering. Because you shared this, I feel less isolated. Thanks!

REPLY
Profile picture for dorothy314 @dorothy314

I am new to LS diagnosis. Can you all explain how coconut oil can work instead of a super strong steroid? What exactly is the steroid doing-reducing inflammation? Is the steroid cream preventing cancer? Can the coconut oil achieve the same thing? My dr. gave me literature that specifically said to not use anything else...no moisturizers, no other creams-just the steroid. Also there were instructions about not washing everyday and when I do wash only use water. I appreciate each of you for your help. This is quite a bit to learn about. Thank you all so much!

Jump to this post

I see the side effects of steroids causing the very issues I want to avoid. I've used both the coconut oil as well as the jojoba oils versions of Lisepten. I get them direct from the company as it's less expensive that way. It provides instant relief and boy do I appreciate that right now

REPLY
Profile picture for fehrlady @fehrlady

Sorry about the wipes, because they are soothing. Opt for the coconut oil, but the cream may have too many additives.

Jump to this post

Thank you.

REPLY

I hope you don't mind me commenting about hearing you have long covid. I recently heard that the nicotine patch has helped patients with long Covid Also if you have not heard about LDN (low – dose naltrexone) it is also a help for long Covid as well as many auto-immune issues. There is a website – ldnresearchtrustorg

Also a podcast, the LDN radio show

Wishing healing to all !

REPLY
Profile picture for echapman @echapman

I see the side effects of steroids causing the very issues I want to avoid. I've used both the coconut oil as well as the jojoba oils versions of Lisepten. I get them direct from the company as it's less expensive that way. It provides instant relief and boy do I appreciate that right now

Jump to this post

@echapman I can’t find Lisepten on the Canadian Amazon website.

REPLY
Please sign in or register to post a reply.