Lichen sclerosus is treated by local application of glucocorticoid steroids. There are many steroid ointments and creams for topical application grouped into four strengths very potent, potent, moderate and mild. The tendency was previously to use the weakest ointments and increase in strength until symptoms resolved. Nowadays the recommendation is to use one of the more potent ointments such as Dermovate (Glaxo) for three months and then intermittently as required. These creams should be applied sparingly. As a guide it may be suggested that you squeeze about a half inch length on to the tip of your index finger and this is all that is needed for one application.
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