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Vulval conditions

Lichen sclerosus, vulvodynia and ectropion.

Source: BSSVD · BAD

Lichen sclerosus

Clobetasol propionate 0.05%OintmentFingertip unit nightly 4 weeks, alternate nights 4 weeks, twice weekly 4 weeks.⚠ 30 g should last 12 weeks. Emollient soap substitute.
  • Lichen sclerosus: review at 3 and 9 months, then yearly. Ulcer over 4 weeks, lump or thickening: urgent referral (cancer risk 2–5%).
  • Vulvodynia: pain 3 months or more without a cause. Vulval care, lidocaine 5% before sex, amitriptyline from 10 mg, pelvic floor physio, psychosexual therapy.
  • Cervical ectropion: normal with the pill, pregnancy and youth. Check screening and STIs; treat only if troublesome.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.