Treatments
Treatment philosophy
In-depth understanding of the disease, treatment with innovative regenerative methods, a multidisciplinary team caring for the individual in all aspects.
Understanding what lies behind the disease
Lichen sclerosus is a complex disease, and one should not limit treatment to the genital area alone. Associated diseases often play a fundamental role in the progression and exacerbation of the condition and should be kept under control.
Immune and hormonal assessment, as well as the condition of the intestines and stomach, reproductive and genital history, and psychological and relational status, should be thoroughly investigated before addressing the genital aspect.
Diagnosis and Follow-Up: The Importance of Safety
Clinical diagnosis, supported by vulvoscopy and if necessary by histology, is the cornerstone for defining the disease and its stage.
Follow-up, meaning the monitoring of the disease’s progression, should be periodically performed by the same team that updates the medical records with images collected at each visit, as well as annotating symptoms and any relevant clinical data.
Regular monitoring allows for the adoption of the most suitable therapies and their modification according to clinical evolution.
Knowledge of official guidelines
Knowledge of official guidelines is essential even for those seeking new therapeutic approaches.
Topical cortisone
Topical corticosteroid treatment is the elective treatment in guidelines because it reduces local inflammatory status. Although official guidelines (English and German schools) differ in the mode of application and duration of treatment, it remains a useful option to use in case of sudden exacerbations or if it is impossible to resort to local inflammation treatment with regenerative products.
Emollients
Daily treatment with emollients and ointments is a cornerstone of everyday therapy. Each patient has different needs. Some may require an oily product, while others may prefer a creamy one, some thicker, some thinner.
Finding the right product is an art that is refined over the years with the help of the patient. The preparation of specific products for a particular patient in a specific phase of the disease is often extremely useful.