Patient Case: Lichen Sclerosus Treatment Before and After
This patient is a physician and pediatrician who had been diagnosed with lichen sclerosus more than seven years earlier. Her symptoms included cracking and bleeding of the vulvar and perianal skin, along with pain, irritation and persistent itching.
Initially, the condition primarily affected the perineum and the area surrounding the anus. Over several years, however, her lichen sclerosus progressed and began affecting the clitoral hood and surrounding vulvar tissue.
Her symptoms became significant enough to interfere with everyday activities. Walking and exercising could cause rubbing and irritation, and she was not sexually active because of her symptoms and pain with intercourse.
Previous Lichen Sclerosus Treatments
Before coming to Miklos & Moore, the patient had tried several therapies for lichen sclerosus, including:
- Clobetasol steroid cream
- Estrogen cream
- Intravenous immunoglobulin (IVIG) therapy
She reported that her lichen sclerosus symptoms tended to improve and recur over time, with periods of increased inflammation, cracking and discomfort.
Radiofrequency Microneedling Treatment
After researching additional treatment options, the patient became interested in radiofrequency microneedling (Morpheus) combined with platelet therapy and Amdrop™ injections.
She underwent three treatments, spaced approximately four to six weeks apart.
The lichen sclerosus before-and-after photos below document the appearance of the affected tissue before treatment and following her treatment series.
Her individual experience should not be interpreted as a guarantee that other patients will achieve the same results.
Lichen sclerosus before treatment photo from a patient treated at Miklos & Moore Urogynecology.
After-treatment photo documenting this patient’s lichen sclerosus treatment results at Miklos & Moore Urogynecology.
Clinical before-treatment image documenting vulvar lichen sclerosus prior to treatment.
Clinical after photo documenting lichen sclerosus treatment results following the patient’s treatment series.
Lichen Sclerosus Treatment Results
Following treatment, there were noticeable changes in the appearance and integrity of the affected vulvar tissue, as well as improvements in tissue pliability. More importantly, the patient reported a dramatic improvement in her lichen sclerosus symptoms.
She is now able to walk long distances, exercise and enjoy activities that had caused significant discomfort and irritation for years.
This patient is herself a physician who had lived with lichen sclerosus for more than seven years and believed she had exhausted her available treatment options before coming to Miklos & Moore Urogynecology.
Her before-and-after photos document her individual response following a series of three treatments with radiofrequency microneedling (Morpheus), platelet therapy and Amdrop™ injections.
Individual results vary. These photos and this patient’s experience do not guarantee similar results for other patients.