Hi, Karen! My name is Donna. I am 52 years old and have been diagnosed with vaginal and vulvar dysplasia, as well as the lichen sclerosis previously spoken of in this message discussion. Although I have not used Aldara, my Effudex treatment sounds very similar ..... created open sores, burning, and escruciating pain. I am fair complected, strawberry blonde hair .... well, before coloring to hide gray (HA!) ... and freckles. My gyn/onc prescribed Lidocaine, which numbs the area and stops itching. This is applied topically as needed. He also suggested Diaparene as a protective agent. Who would have ever thought I would be buying Diaparene at age 52, let alone to use on myself. Both of these did help, but there was still pain. I had so many sores after the first three treatments that I had to stop for a month. In any event, I return on 7/14 to see if the treatment worked, and if not, what is the next step. I am scared and already frustrated with the pain from my treatment. Reading about treatments for this disease is very, very scary and stressful. Thanks to everyone who shares on this forum. I makes me feel I'm not alone.