TORONTO - s4story -- VitalityMD Toronto announces the publication of a new opinion article by founder Dr. Shari Caplan, MD CCFP, ABOIM, in the peer-reviewed Archives of Reproductive Medicine (2026; 2(1)). The article, "A Comprehensive and Holistic Approach to Vulvar Lichen Sclerosus: Looking Beyond Topical Corticosteroids," challenges the conventional single-therapy model for one of the most under-recognized chronic conditions affecting women's genital health.

A Condition Often Misdiagnosed

Vulvar lichen sclerosus (LS) affects up to 1 in 70 women, yet is frequently mistaken for yeast infections or dermatitis, leading to delays that can cause irreversible scarring, sexual dysfunction, and increased cancer risk.

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Rethinking Standard Care

While topical corticosteroids remain first-line treatment, Dr. Caplan notes many women continue to experience persistent symptoms or lifelong steroid dependence despite guideline-directed care. She argues LS should be treated as an immune-mediated disease, noting that roughly one-third to one-half of affected women show autoimmune serological abnormalities, with links to thyroid disease, vitiligo, and type 1 diabetes.

VitalityMD's model evaluates every LS patient for autoimmune disease, hormonal deficiencies, chronic infections, and psychosocial factors, and explores regenerative adjuncts including platelet-rich plasma, exosomes, and radiofrequency therapy — building on Dr. Caplan's own published case series, where patients reported reduced pain and restored sexual function.

"There is a better way to heal the tissue instead of just controlling symptoms," said Dr. Caplan. "This is about moving lichen sclerosus care from indefinite symptom suppression toward genuine tissue restoration and quality of life."

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About VitalityMD Toronto

VitalityMD Toronto is an integrative medical lifestyle centre at 1769 Avenue Road, Toronto, founded by Dr. Shari Caplan, MD — Board-Certified in Integrative Medicine (ABOIM). VitalityMD offers sexual health treatments, functional medicine, hormone therapy, and regenerative aesthetics. vitalitymd.com

Published Research

Caplan S. A Comprehensive and Holistic Approach to Vulvar Lichen Sclerosus: Looking Beyond Topical Corticosteroids. Archives of Reproductive Medicine. 2026; 2(1). DOI: 10.33552/ARM.2026.02.000527 - https://irispublishers.com/arm/article-in-press.php

Media Contact VitalityMD Toronto 1769 Avenue Road, Toronto, Ontario, Canada, M5M 3Y8 Phone: (416) 792-1100 Website: https://vitalitymd.com/media/  Email: operations@vitalitymd.com