AKT question relating to vulval soreness and itch

Single Best Answer

You see a 56-year-old lady with vulval soreness and itchiness. She is unable to have sexual intercourse due to pain.

The picture below represents her examination findings:

Reproduced with permission from Vulvovaginal Disorders: a pathway to diagnosis and treatment https://vulvovaginaldisorders.org.

What is the SINGLE MOST appropriate first-line treatment option? Select ONE option only.

Clobetasone proprionate cream

Answer DOI: 10.1177/17557380231162465g