@andwho, You must be having a flare. I use Clobetasol twice weekly when I am not in flare mode. Lately, I am using compounded Lidocaine 10% with Vaseline to numb the vulva area. I use this about every three hours. I burn if I do not numb. It is always a miserable situation. I see a gyn. I am not saying what works for me works for everyone. I did not have luck with what my dermatologist prescribed. I was there for my yearly check-up of moles and mentioned my LS problems. I gave it a try with her, but it was not for me. I am back to my gyn. Best wishes as you seek answers to your situation. @joybringer1