I was diagnosed with Lichen sclerosis over 30 years ago. Hard to know what to do with me since all the steroid ointments cause more irritation than the l.s. Needless to say, the condition has worsened over the years. Have gone back to sporadically using the clobetasol. Have been seen by dermatologists and gynecologist whose area is vulvar skin conditions. I also keep forgetting to apply moisturizing oils like coconut oil or olive oil. (I find unsalted butter feels great and the gynecologist had no problem with that). She did reccomend keeping the area from being dry.So far nothing bad has developed (cancer of the vulva). Have tried other steroids and that other ointment (tachcrolimus): even worse reaction. It's a challenging situation!