Dr. Selk interviews Dr. Gayle Fischer in part 1 of our 2 episode series on steroid therapy. Dr. Fischer is a professor of Dermatology at the University of Sydney in Australia, and has written books and has many years of research experience in the area of vulvar dermatology and lichen sclerosus (LS). Topics covered include the importance of using long-term steroids in certain vulvar conditions, how to respond to patient fears about steroids, studies assessing side effects of steroid use in these conditions, matching the strength of the steroid to the severity of disease, providing instructions to patients, importance of raising awareness about vulvar diseases, long-term steroid use in pediatric vulvar disease, and psychosocial implications of pediatric LS.