علاج الحزاز المتصلب

Lichen sclerosus is a chronic condition that may relapse over time.

No current treatment, including regenerative procedures, is considered a definitive cure.

Maintenance therapy and regular clinical follow-up remain important.

Individual outcomes vary and improvement cannot be guaranteed.

All treatment decisions are made following full medical assessment and informed consent.

العلاجات بالحقن التجديدي (PRP)

تستهدف حقن البلازما الغنية بالصفائح الدموية (PRP) — المعروفة باسم O-Shot® (للنساء) و P-Shot® (للرجال) — استخدام عوامل النمو المستمدة من دم المريض نفسه لدعم صحة الأنسجة.

لا تزال الأدلة على فعالية PRP في علاج الحزاز المتصلب محدودة ومتطورة. تتكون البيانات الحالية بشكل أساسي من سلسلة حالات صغيرة ودراسات تجريبية. لا توجد أدلة مؤكدة على أن PRP يعالج الحزاز المتصلب أو عملية المناعة الذاتية الكامنة.

Where offered, PRP is considered an endeavour that could help in alleviating the troubling symptoms with possible improvement in the tissue’s integrity.

ملاحظة مهمة:

PRP-based procedures such as O-Shot® and P-Shot® are generally considered only after standard treatments, including topical corticosteroids, have been used or discussed.

In some cases, the clinic may recommend adjusting or limiting steroid use around the time of regenerative procedures. This approach is based on research suggesting corticosteroids may influence wound healing and growth factor activity. Decisions regarding steroid use are always made individually following clinical assessment.

العلاجات القائمة على الليزر

Laser therapy has been explored in some small clinical studies as a potential treatment for genital lichen sclerosus in both women and men. These studies have investigated fractional CO₂ laser treatment.

Current evidence remains limited, and studies have not demonstrated consistent reduction of inflammation. For this reason laser therapy is not considered a standard treatment.

This treatment option is not currently offered at Dr NY Clinic.

اعتبارات مهمة

التصلب الحزازى هو مرض مزمن مع ميل إلى الانتكاس.
لا يوجد علاج حالي يعتبر علاجاً نهائياً.
لا يزال العلاج الوقائي والمتابعة المنتظمة ضروريين.
تختلف النتائج الفردية، ولا يمكن ضمان حدوث تحسن.
يتم اتخاذ جميع قرارات العلاج بعد إجراء تقييم طبي كامل ومناقشة البدائل والحصول على الموافقة المستنيرة.

الرعاية والمراقبة المستمرة

Long-term follow-up is important to monitor symptom control, assess response to treatment, identify early signs of disease recurrence or flare-ups, and detect any suspicious tissue changes that may require further investigation. Patients may also be advised to remain enrolled in relevant NHS screening programmes.

Practical advice for patients includes:

• Avoiding irritants such as perfumed soaps
• Wearing non-restrictive clothing
• Seeking prompt medical review if new lesions, persistent ulceration, or changes in appearance occur

Biopsy is recommended only when clinically indicated, particularly in areas that appear atypical, persistent, or suspicious. Review intervals are individualised according to disease severity and each patient’s risk profile.