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Attitudes Toward Proactive Topical Corticosteroid Use Among Women With Vulval Lichen Sclerosus

Sophie Rees¹, Susanne Arnold², Ashod Kherlopian³

¹Bristol Trials Centre, University of Bristol, Bristol, UK.

Journal of Lower Genital Tract Disease

|March 22, 2024

Abstract

Objectives:

Some practitioners are adopting proactive topical corticosteroid (TCS) therapy for vulval lichen sclerosus (VLS). We sought to understand patient attitudes toward proactive TCS therapy for VLS in a context in which proactive therapy is adopted.

Methods:

Four online focus group discussions with 12 participants. Data analysis was informed by social constructionist grounded theory.

Results:

All participants had accepted a proactive regimen. Three themes were developed from the analysis: "Coming to accept proactive therapy," "Motivators to maintaining a proactive regimen," and "The importance of a routine that fits me." Within each theme are subthemes illustrating different dimensions of the theme.

Conclusions:

Accepting proactive TCS therapy for VLS requires incorporating regular TCS use into a patient's identity, unlearning previous understandings regarding the safety of long-term TCS use, and adopting a regimen that fits within patients' lives and minimizes the loss of autonomy.

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