Rosh Women's Health Practice Exam 2026 - Free Women's Health Practice Questions and Study Guide

Topical steroids are the primary treatment for vulvar lichen sclerosus because they effectively reduce inflammation and symptoms associated with this condition. Lichen sclerosus is characterized by inflammation, thinning of the skin, and sometimes lesions, leading to discomfort and potential complications if left untreated. High-potency topical steroids help to alleviate these symptoms by suppressing the immune response and promoting healing of the affected skin.

The use of topical steroids is critical in managing lichen sclerosus, as they can lead to a significant improvement in symptoms, promote skin integrity, and prevent the development of scarring or complications such as sclerotic changes. The long-term goal of treatment with topical steroids is to maintain remission and minimize flare-ups of the condition.

Other options, such as antibiotics, topical antifungals, and oral contraceptives, are not effective treatment strategies for vulvar lichen sclerosus. Antibiotics address bacterial infections, which are not relevant to this condition, while topical antifungals are aimed at fungal infections, and oral contraceptives are typically used for managing hormonal issues or menstrual symptoms, rather than inflammatory skin conditions like lichen sclerosus.