Lichen sclerosus is a disease of unknown cause, manifested by atrophy of the skin and subcutaneous tissue in the pubic area, labia majora and labia minora and around the anal opening. As the disease progresses, the big and small lips and even the clitoris disappear completely. The vagina becomes narrower and shallower. The skin of the external genitalia shrinks and thins as a whole. At first it is pinkish pale, as the disease progresses the skin becomes transparent, brittle, and reminiscent of parchment.
This disease is also seen in men. The disease is ten times more common in women.
Patients complain of itching, pain, frequent infections, and as the disease progresses, difficulty urinating and bowel movements may occur. It is often found in women with some other autoimmune disease, frequent genital infections, and genetic predisposition.
It usually takes several years before the disease is diagnosed. Often patients are treated under the wrong diagnosis and use various antibiotics, vaginas, but the symptoms do not subside, and often worsen.
A biopsy is the surest way to make a definitive diagnosis.
Treatment - there is no causal - causal cure. Improvement can be achieved with good hygiene, while maintaining the pH of the mucosa. Corticosteroids, topical hormone therapy, retinoids, ultraviolet radiation, and even surgical treatment of advanced scars, which lead to functional disorders, have been used in this disease so far.
Currently, the best way to treat this disease is PRP.
It involves the administration of platelet-enriched plasma that is extracted from the patient's blood. Platelets are known for their role in blood clotting, but platelets also contain hundreds of different proteins, known for growth factors, which are important in wound healing, injury or rejuvenation of tissues and mucous membranes.
PRP plasma is 5-10 times richer in tricolors than normal plasma, which means richer in growth factors that help rejuvenate diseased skin.
These patients must be monitored regularly, due to the possibility of cancer at the site of chronic sclerosis.
How does PRP work?
Growth factors from PRP act as stem cells and thus accelerate the process of tissue healing and rejuvenation. Plasma enriched with platelets is injected into the affected area after centrifugation.
PRP in gynecology
In gynecology we use PRP:
- for the regeneration of changes in the external genitalia such as itching and lichen sclerosus.
- removes vaginal dryness and thus improves a woman's sex life.
- As the so-called "O-shot" (orgasm shot) acts to stimulate the G-spot in the vagina, which increases arousal, sexual desire, the ability to achieve orgasm faster.
- Due to the increased elasticity of the vagina, pain during sexual intercourse is reduced, especially in postmenopausal women.
- vaginal lubrication increases