I have had Lichen Sclerosis for over 2 decades now. Started having symptoms shortly after menopause which my gynecologist attributed it to. It took about 10 years to be diagnosed. My dermatologist actually made the diagnosis. Needless to say I changed gynecologists. Today I see both on a regular basis. Due to the late diagnosis I do have scar tissue and have a couple of spots biopsied. For years I have used a compound of Balneol cream compounded with 1% hydrocortisone once to twice daily with Estrace cream a couple of times per week. Of course Medicare doesn't care to pay for any compounds. In the past year I found that Aquaphor 1% seems to work even better. This is over the counter and much less expensive. I also need to use regular Aquaphor in my anal area now, too. This brings me to underwear as all that cream can be a problem. Jockey makes a worry-free moderate or heavy underwear that has worked great. I enjoy taking a spin class or riding my bicycle so I "grease" up and wear the worry-free as it is padded. Everyone is so different but wanted to let you all know what has worked so far for me.