---
title: "Lichen Sclerosus: Management Mistake Prolonging Symptoms"
description: "Learn the common lichen sclerosus management mistake that can prolong symptoms, plus how steroid treatment and hormone support work together."
url: "https://www.myalloy.com/knowledge-base/lichen-sclerosus-management-mistake-prolonging-symptoms"
---

# Lichen Sclerosus: Management Mistake Prolonging Symptoms

> Learn the common lichen sclerosus management mistake that can prolong symptoms, plus how steroid treatment and hormone support work together.

## What common management mistake prolongs symptoms in lichen sclerosus?

A common mistake is **not using enough hormone support along with the standard steroid treatment**. In the expert discussion we have at Alloy, Dr. Rachel Rubin explains that lichen sclerosus is classically treated with a high potency topical steroid like clobetasol, used regularly with a maintenance plan, but symptoms can linger when the tissue isn’t also getting enough hormones to help keep it strong and healthy.

It’s also worth knowing that vaginal estrogen by itself isn’t the treatment of choice for lichen sclerosus, high potency steroid treatment is. This chapter explains that balance clearly: [Standard and hormonal treatments for lichen sclerosus](https://www.youtube.com/watch?v=9RE9AhaA3OA&t=2514s).


[Watch video](https://www.youtube.com/watch?v=9RE9AhaA3OA&t=2514s)

For a quick written overview of vulvar itching in menopause, including lichen sclerosus, our article is here: [Vaginal itching and menopause](https://www.myalloy.com/blog/vaginal-itching-and-menopause).

[Find Your Plan](https://secure.myalloy.com/experience)

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This answer was created using the following resources:

- [Menopause & Sexual Health | Dr. Rachel Rubin - Standard and Hormonal Treatments](https://www.youtube.com/watch?v=9RE9AhaA3OA)
- [Is This Perimenopause? What You Need To Know | Dr. Corinne Menn - Lichen Sclerosus vs. GSM: Recognizing Persistent Vulvar Itching](https://www.youtube.com/watch?v=vRUrIfaA8_U)
- [The Best Sex-Ed You Never Had - Your Sex Life Through Menopause | Dr. Kelly Casperson - Lichen Sclerosus: Diagnosis and Treatment](https://www.youtube.com/watch?v=PqSpJFSYBUc)
- [Lichen Sclerosis: An Underdiagnosed Condition in Women of Color | Dr. Sameena Rahman - Introduction to Lichen Sclerosus](https://www.youtube.com/watch?v=y2m4PHD4IG0)
- [Vaginal Itching & Menopause | Menopause Treatment | Alloy](https://www.myalloy.com/blog/vaginal-itching-and-menopause)

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