Treatment of Vulvar Lichen Sclerosus During Pregnancy and Breast-Feeding

Managing vulvar lichen sclerosus requires specific consideration when the patient is pregnant or breast-feeding. This protocol addresses that clinical situation directly.

Clinical scenario Pregnant or breast-feeding women with lichen sclerosus. Lichen sclerosus usually takes a favourable course during pregnancy and is not a contraindication for vaginal delivery.
Treatment approach (partial)
Topical corticosteroid therapy, applied to the affected genital skin, is part of the approach in this setting. The complete regimen — including all specifics — is in the full protocol.
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References

DOI: 10.1111/jdv.18102

Lichen sclerosus usually takes a favourable course during pregnancy and LS is no contraindication for vaginal delivery.

Limited amounts of potent topical steroids are safe to use while pregnant or breast-feeding.

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