Lichen Sclerosus Treatment Specialist

Jarvis Family Medical Services

Family Medicine & Health and Wellness Specialist located in Louisville, KY

Lichen Sclerosus Treatment Q & A

Lichen Sclerosus (LS) is a benign, but chronic skin condition characterized by white patches that usually causes itching, burning or pain. Both males and females can get this skin condition. It is commonly found on the genitals, and will usually occur before puberty, after menopause, or after the ovaries have been removed. The cause for LS is unknown, but there have been links proposed including genetics, environment, autoimmune and hormonal.

In woman, LS can lead to thinning and shrinkage of the genital area that can make intercourse, urination, and defecation painful. LS is a progressive and chronic disease for many patients. The discomfort and pain of lichen sclerosus cause distress and issues with self-esteem and sex. There is no definitive cure for LS.

Previous treatment options were limited to steroids. Topically applied corticosteroids to the LS-affected skin may improve or suppress symptoms for some time, which highly varies across patients, until it is required to use them again. We see patients whom previous therapies have failed.

 

Recent studies indicate that the injection of platelet-rich plasma (PRP) used may be an effective therapy in the management of lichen sclerosus Jarvis Family Medical Services, always embracing medical advances, is now offering this exciting new treatment option for LS patients. This unique treatment may dramatically improve the quality of life for LS patients. The first patient treated in this office with this therapy, was able to resume relations with her husband after seven years of abstinence.

 

Our recommendation for the treatment of lichen sclerosus is:

  • Discontinue the use of corticosteroids. The topically applied corticosteroids alleviate the short term issues of itching and burning, but causes long term conditions such as thinned skin and atrophy. Long term use of steroid cream causes skin atrophy. Although they help especially with itching, we favor treating the cause, not the effect.
  • Check hormone levels to alleviate symptoms. Balancing hormone levels may help those patients who are not contraindicated for estrogen. Previous cancer patients may not be able to take estrogen. Some patients benefit from topically applied testosterone.

You can feel at ease talking with us about this most private topic. For women with lichen sclerosus, it is important to choose a skilled practitioner and discrete medical facility that provides the privacy you desire. Find out more by contacting Jarvis Family Medical Services at (502) 822-3659 to request a consultation.

Risks

The risks associated with PRP are minimal because the procedure uses the patient’s own cells and tissue to treat the lichen sclerosus.

Recovery

There is no recovery period for this procedure. Patients can go back to work immediately. There should be no heavy lifting or intercourse for two days to let the fat transfer site heal.

Make an appointment with one of our professionals to discuss your concerns, and to devise a comprehensive and personalized treatment plan. This medical advance may be just what you need to get back the life you had before lichen sclerosus. Request your consultation today at (502) 822-3659.