Treatment for vulvar lichen sclerosus typically begins with topical steroids or other types of topical creams. Creams may provide immediate relief from itching and irritation, but it can take a long course of treatment for the skin to return to normal. Depending on the severity of the case, physicians may also recommend calcipotriol cream, topical and systemic retinoids, or systemic steroids.
Coyle Institute has seen a measure of success in lichen sclerosus treatment with injections of platelet-rich plasma (PRP) derived from the patient's own blood, which stimulates tissue rejuvenation.
PRP is a platelet concentrate with a long history of success in speeding up healing processes in a variety of medical fields. Coyle Institute uses The O-Shot®, an all-natural, virtually painless non-surgical procedure that for many women rejuvenates and revitalizes vaginal and clitoral function without serious side effects.
Coyle Institute is also conducting a ground-breaking study in the use of erbium laser therapy as a lichen sclerosus treatment. Sciton’s profractional laser system creates a grid where the erbium laser targets tissue with a high affinity to water. Its customizable system allows us to adjust the depth of treatment for each woman to optimize healing. By using biopsies to measure the depth of a woman’s lichen sclerosus lesions before and after treatment, we can offer the most targeted, effective laser therapies and track the healing process. So far, laser treatment has been shown to improve healing and reduce painful symptoms, offering much needed relief to women most profoundly affected by the disease.
Even if they aren’t painful or itchy, patches on the genital skin should be treated to prevent scarring, which can interfere with normal urination and with sexual intercourse. In cases where deep scarring has already occurred, surgery may be necessary to allow for normal urination and sexual intercourse.
The condition does tend to recur, so long-term follow-up care may be needed. However, lichen sclerosus on upper body and arms may disappear over time without treatment. Although lichen sclerosus is an uncommon issue, our team at Coyle Institute has experience in successfully treating and managing its symptoms. With vigilance and care, women can get relief from the painful and potentially dangerous symptoms of lichen sclerosus and return to a healthier, happier life.
If you suspect you have lichen sclerosus, early treatment is urgent to help prevent scarring and its associated risks. Call our compassionate, expert team today and schedule your consultation.
©2019 Dr. Michael J. Coyle