Other than testosterone cream, what else can be used in the treatment of lichen sclerosis?
High-potency steroid preparations can be used to treat lichen sclerosis. In particular, Clobetasol Propionate 0.05 percent is the treatment of choice. This is applied to the affected skin once daily, usually at night, until there is an improvement, after which the frequency can be gradually reduced. A 30 gram tube should last three months, but considerably less is required once the disease is under control. Ointments are more effective than creams. There seems to be less contact dermatitis with the ointment formulation. — Despite the high incidence of lichen sclerosis at the time of menopause, and the apparent improvement in pregnancy, both systemic and topical exogenous estrogens are ineffective in the treatment of lichen sclerosis. A soap substitute, such as an aqueous cream, is a useful adjunct treatment. —- The fluorinated high-potency creams can increase vulvar atrophy over time. Clearly, there will be some systemic absorption from steroid creams and, therefore, I would recomm
