@article{4656fd4fccb641ad9faac36e09d56a07,
title = "Attitudes Toward Proactive Topical Corticosteroid Use Among Women With Vulval Lichen Sclerosus",
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.",
author = "Sophie Rees and Susanne Arnold and Ashod Kherlopian and Gayle Fischer",
note = "Publisher Copyright: {\textcopyright} Lippincott Williams & Wilkins.",
year = "2024",
month = apr,
day = "1",
doi = "10.1097/LGT.0000000000000791",
language = "English",
volume = "28",
pages = "183--188",
journal = "Journal of Lower Genital Tract Disease",
issn = "1526-0976",
publisher = "Lippincott, Williams & Wilkins",
number = "2",
}