What I meant by lifestyle changes - I was told by the gynae doctor to avoid wearing tight jeans or Lycra. Wear only loose white knickers - coloured ones apparently the dye can leech onto the skin when you’ve got the ointment on. Go commando round the house and overnight . Avoid swimming in chlorinated pools , and if you do swim don’t sit around in a wet costume but shower immediately. Only use an emollient as soap substitute, soak your nether regions in a warm bath for 20 minutes before applying the steroid cream( this has to be done every day for a month, then every other day for a month, then once a week ). Don’t use bio washing powder for your clothes/ bedding/ towels and put the wash on an extra rinse cycle. Use emollient after every wee at first. Use an oestrogen pessary once a day for a month, then taper. Phew. It’s a lot to take in. I’ve bought a sitz bath, some white short knickers from M and S, a couple of nighties to replace pyjamas, and some baggy yoga pants to wear instead of my many pairs of jeans. I’ve picked up my 4 prescription items. Fingers crossed for an improvement in this grim condition.