Introduction We commonly get emails with the subject line reading, “Clobetasol isn’t working for lichen sclerosus…now what?” And we get it; we’ve been there too. But we want you to know there are options. In this post, we review what Clobetasol is and how long it takes to work. This section is particularly important because sometimes folks do not use Clobetasol long enough to see results because they did not receive adequate education on their medication. After, we review important questions and things to explore with your healthcare provider. We share a number of alternatives to Clobetasol, both steroidal and non-steroidal, and provide advice for approaching your doctor about changing your treatment plan. Finally, we review refractory vulvar lichen sclerosus and three options to help.  One of the scariest things with a chronic condition is feeling like you don’t have any options. This can feel hopeless and bleak. We hope…