118 - Painful Sex: The Story of Lichen Sclerosus, a Shockingly Under-Diagnosed Post-Menopause Skin Condition, Part 3

This week, let's wrap up our series on lichen sclerosus by discussing more of the therapies available for treatment. If diagnosed and treated early, the condition can be greatly improved—especially if you're using a hormone replacement therapy approach that's been optimized. Aside from steroid medication, tacrolimus, estrogen therapy, and testosterone therapy (which were all options discussed in a previous episode), there are other treatment options like platelet-rich plasma, which can be injected to improve vaginal and sexual wellness. PRP is gaining in popularity because it's considered to be minimally invasive. It's done under topical anesthesia, and although the vaginal tissues may be sensitive after, there are very few side effects. PRP treatment can improve itching and burning, and may even support regeneration of healthier skin. However, it does need to be injected in the area that is impacted the most to be effective. The major downside to PRP therapy is cost. It is considered experimental, so no insurance plan will cover it. It's also important to know that results may vary. While some patients experience great success, others see little effect. The success depends greatly on the overall regenerative capacity of the individual. Exosomes are a useful alternative to PRP and may even work better in women of an older age (or younger women with autoimmune issues or nutrient deficiencies). Exosomes are transport molecules that facilitate communication between the cells. Injecting exosomes locally or applying topically may reduce symptoms associated with lichen sclerosus or potentially eliminate them completely. Just like PRP, exosomes are considered experimental and not covered by insurance.   Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/  https://www.instagram.com/herabeautyandwellness/  https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/