A vaginal dilator may be recommended if symptoms of scarring and narrowing appear in order to maintain the elasticity of the vaginal tissue. Another topical cream that has been used with some success is an eczema medication called Tacrolimus but its use should be closely monitored. If topical medications do not improve lichen planus, then oral steroids may be tried.
Lichen planus can be a chronic problem where symptoms improve then reoccur. A lifestyle adjustment to having pain that interferes with one’s sexuality can be difficult. Women with lichen planus and lichen sclerosus may find support from online groups such as http://lichensclerosus.net who also have a yahoo group. The National Vulvodynia Association at www.nva.org may also be a helpful resource.
Vulvar Lichen Planus by Andrew T. Goldstein, MD and Arielle Metz, MD at
Michele is an R.N. freelance writer with a special interest in woman’s health care and quality of care issues. Other articles by Michele are at www.helium.com/users/487540/show_articles