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RF Vaginal rejuvenation & Lichen sclerosus treatment

Lichen sclerosus is a skin disorder that causes the skin to become thin, whitened, and wrinkled, and often causes itching and pain. LS affects men and women at any age. It can develop on any skin surface, sush as thighs, breasts, neck, in the mucus membran inside the mouth etc,. but in women it most commonly occurs near the clitoris, on the labia (the inner and outer genital lips), and in the anal region. 

The cause of lichen sclerosus (LS) is not clear. It is thought that genetic factors and autoimmune factors may contribute. An infectious organism has thus far not been identified, and LS is not contagious.

Lichen Sclerosus (LS) Signs and Symptoms

Features of genital LS in women — Some women with genital LS feel dull, painful discomfort in the vulva, while other women have no symptoms. The most common symptoms include:

Vulvar itching – The most common symptom of LS is itching. It may be so severe that it interferes with sleep.

Anal itching, fissures, bleeding, and pain

Painful sexual intercourse (dyspareunia) – This can occur as a result of repeated cracking of the skin (fissuring) or from narrowing of the vaginal opening due to scarring.

Typically, women with genital LS have thin, white, wrinkled skin on the labia, often extending down and around the anus. Purple-colored areas of bruising may be seen. Cracks may form in the skin in the area around the anus, the labia, and the clitoris. Relatively minor rubbing or sex may lead to bleeding due to the fragility of the involved skin. If genital LS is not treated, it may progress and change the appearance of the genital area as the outer and inner lips of the vulva fuse and cover the clitoris. The opening of the vagina can become narrowed, and cracks, fissures, and thickened, scarred skin in the genital and anal area can make sexual intercourse or genital examination painful. LS does not affect the inner reproductive organs, such as the vagina and uterus.

Features of genital LS in men — In men, LS may appear on the head of the penis. Men who develop LS are usually uncircumcised. Men with LS may also have problems pulling back the foreskin and may experience decreased sensation at the tip of the penis, painful erections, or problems with urination

Lichen Sclerosus Diagnosis

To confirm a suspected diagnosis of LS, a biopsy is recommended. 

Lichen Sclerosus usually is treated with topical steroid ointments such as clobetasol which have previously been the mainstay of treatment, but require daily application and have significant side effects. In many women, there is only partial symptom control.

At Epic Med Spa, we utilize platelet rich plasma (PRP) to treat LS effectively. 

You must have had a biopsy confirming the diagnosis

If extensive scarring is present, surgical revision may be recommended prior to PRP intervention

Steroid cream should be discontinued

We do use topical numbing agents for the procedure if needed.

First session- PRP will be injected into the regions of skin involved with LS.

A second injection (external) is scheduled for 6 weeks later. Thereafter, subsequent external treatments are on an as needed basis (range 3 times a year or less in most cases)

You MUST continue to be followed by your specialist (ObGyn, Dermatology), with surveillance biopsies to monitor for squamous cell skin cancer- there is a slightly higher incidence of this skin cancer in LS patients.

Consider Also: Viora Vaginal Rejuvenation/ Skin tightning

The Science of Heat- Viora treatments use radiofrequency energy to gently heat both the internal and external vaginal structures, generating tissue rejuvenation including new collagen, without discomfort or downtime. Non-invasive, Non-surgical, No anesthesia required! 

While we cannot guarantee a particular outcome, we find these procedures extremely helpful for the vast majority of women we treat. Lichen Sclerosus is a chronic condition and it is expected that maintenance sessions will usually be required.

The determination of which service(s) are recommended will be based on the initial exam and consultation. We are not able to bill your insurance company. We can provide documentation should you wish to pursue possible reimbursement from a Flex Spending Account or Health Savings Account.

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