To sspil5: I use Clobetasol twice a week for 2 weeks then Vaseline for the third week then repeat the process. Use Vaseline on days when I don’t use Clobetasol. This avoids shrinkage to a degree. For nerve pain caused by LS I was prescribed amitriptyline and pregabalin 300 ml needed. Works fine for me. I also try to avoid stress to prevent flare ups. Now I feel everything is under control. I have previously had minor surgery to remove some adhesions in the vulva. My life with LS was not great before I found the right regimen for me. I have never heard of fraxel laser. If you try it I hope it helps you.