Thanks for all the good information. I’ve been on Betamethasone. I’ve found doctors would rather not deal with it…they want to be in and out to move onto the next patient. Still looking for a doctor.

Hi! The Clobetasol propoipinate is the only thing that has worked well for me. I was miserable before my Primary doctor prescribed it. You do have to be careful to not use more than couple times per week so it doesn’t thin the tissues. I My Gynecologist was prescribing me flucinonide but that just didn’t work well enough.

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!

Sorry to hear you have been dealing with this for so many years. I’ve been lucky that the Clobetasol ointment usually keeps mine from getting too bad. I do have a lot of scar tissue though. Take Care. 🙂

@januaryjane– Good morning and welcome to Mayo Connect. I am a Mentor for Connect, usually in the lung cancer and wellness group, stop smoking and join in with recipes and general gabbing. I'm 72 years old and have had my share of yeast infections. Now I get them occasionally. The only time that I experience any pain is if my urine is too strong from lack of enough water and if I am dry. So I put on Aquaphor. It's a ramped up Vaseline with mineral oil, lanolin, glycerin, etc. that coats the skin. This might help.
I'm horrified that your gynecologist reacted the way she did. I hope that you reported her. I suggest that you seek another one and get a thorough work-up by a gyn who is familiar with symptoms of lichens sclerosis, or will work with you and learn more about this disease. Can you get a recommendation from anyone in your area, or from forums?

I am posting ONLY to give hope to others their lichen schlerosis will go away like mine did ! From April 2018 to July 2018 I was diagnosed with it and treated by my female gynecologist who prescribed a dab of Clobetasol daily ! It was only on one side and high up on the outer lips BUT it nearly drove me crazy ! At age 77 then it was just AWFUL ! Unfortunately I can not recall what if anything significant that I did or changed that might have contributed to it going away ! But all of a sudden it was gone ! And remains to to this day, knock on wood. Occasionally I will feel a tiny little itchy/scratchy feeling like it might be coming back. But I always reach for a dab of Clobetasol which seems to take care of it ! For whatever it's worth, including zero, I am totally celibate . The only thing I can think of that I changed was not sitting in my plastic sitz bath with warm water for relief. I stopped using it wondering if there were some sort of germs on the plastic bowl, itself. I am not suggesting that contributed to it going away. Who knows !! However I can't help but wonder if, except for the Clobetasol, keeping the area more dry rather than more moist was a key to it going away ! ANYWAY, I know all this sounds crazy and I agree ! Nevertheless, here's hope yours also will go away SOOON —and fingers crossed mine will not return ! !

@misssassy– Welcome back to Connect. What a wonderful outcome for you, and a relief. Thank you for sharing your story and suggestions. You might have something there with keeping the area dry and not sitting in a plastic tub that really can't be cleaned that well. Who recommended a sitz bath for you too use?

No one suggested I use the sitz bath. I had one on hand that relieved a long ago hemorrhoid problem . The warm water DID provide some comfort , as hoped for, though it certainly was temporary !

Actually no one advised the sitz bath. I happened to have one of the plastic tubs on hand from a long ago hemorrhoid problem and thought the warm water would be soothing. Which it was ! But like previously mentioned I stopped using it, fearful it might be a germ carrier of some sort ! I'll never know if that had anything to do with my (hopeful ) recovery ! But it's my story! So far, so good still to this day ! And I wish everyone reading this would have the same sort of luck ! Best wishes !

How do I find a doctor in my area who has experience treating lichen sclerosus? My OBGYN did a biopsy and diagnosed me with LS about a year ago. She is very nice, but does not know a lot about treatment. My dermatologist does not seem to know much about treating LS, and didn't examine me. He told me that it was bad to use clobetasol and said to switch to Elidel, which caused immediate irritation. I live in Honolulu. Thank you.

@honolulukk I see a gynecologist who sees many patients with lichen sclerosis. I was prescribed clobetasol. There has been improvement. It cannot be left untreated. I had also seen a dermatologist who also deals with women who have l.s. Same advice.

@honolulukk I sometimes get irritation also but persist in using it. The gynecologist said can be applied as little as 2 times a week, although I do now use it more often than that. You will find that if you leave this condition untreated, it will get worse.

After showers or when I am dry, I smooth on some Baby Aquaphor. Find it in the baby isle. It helps prevent chaffing. Good for your lips too

@honolulukk What an uncomfortable, annoying problem you have. You might think about returning to your OBGYN, who you like, and ask about clobetasol. Also see if she will ask others OBGYNs if they have heard of LS and how they might treat it. You must have had to make a lot of changes in your routine, especially with the heat and humidity. Let us know what your doctor says; it could be a big help to others!

I was diagnosed with Lichen Sclerosis by biopsy about 15 yrs ago. I have used Clobetasol for several years. I use it twice a week for maintenance. If I have a bad flare I use it daily until things start settling down. I used Flucininoide steroid ointment in the past but it doesn’t work well enough for me. I’m currently having one of the worst flares I’ve ever had. It is affecting my Urethra and causing moderate pain. I thought it was a bladder infection so went to the doctor last week but urine test was negative. I have been mixing Clobetasal with 5% Lidocaine cream and applying it. I will be going to the doctor this week to see if there is anything else I can