Today we chat with Dr. Carrie Sopata about the Lichens! Lichen Sclerosis, Lichen Planus and Lichen Simplex Chronicus the Diagnosis of Skin Disorders and Vulvodynia. We discuss how to Identify features of lichen sclerosis, lichen Planus, and lichen simplex chronicus and make a diagnosis based on physical exam findings, the list of treatment options for refractory lichen sclerosis and recognize the benefits of long-term management. We state the current knowledge of the benefits of fractional laser in the treatment of lichen sclerosis, how to perform a tailored vulvar exam in patients complaining of vulvar pain, and create a management plan for patients with Vulvodynia that addresses their psychological and physical complaints.

Vulvar skin disorders are common and can be frustrating to treat because they often are chronic and patients have tried multiple therapies without success. for the physician, high potency steroids are the mainstay of treatment, but some patients are non-responsive and/or non-compliant with this medication. When patients do not respond to steroids, what should be the next step? And how should patients be managed long term?