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Doctor_s Appointment

Talking With Your Patient

Patients are often dismissed from health care providers when symptoms are just beginning or many are afraid to share what they are experiencing. Read the helpful guides below for understanding, practice conversations, and welcoming/explorative wording for your meeting with the patient. 

1. Understanding

When diagnosing vulvar lichen sclerosus (VLS), it is essential to approach the conversation with sensitivity and compassion. Research shows that a gentle, empathetic approach helps patients better process their diagnosis and fosters trust in their healthcare provider (Bradford & Fischer, 2010). Use clear, supportive language to explain the condition and its treatment options, avoiding medical jargon that might confuse or alarm patients (Gutiérrez Ontalvilla, 2022).

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Reassure patients that VLS is a manageable condition with proper care and emphasize the importance of early treatment to prevent complications (Günthert et al., 2012). Allow time for patients to ask questions and express their emotions, and provide resources like educational materials, support groups, or counseling referrals to help them feel informed and supported. By delivering the diagnosis with compassion, healthcare professionals can make a meaningful impact on patients’ emotional well-being and their ability to manage the condition.

2. Helpful Wording

Script 1: Gentle and Informative Approach

Doctor:
“I want to take some time today to talk about the symptoms you’ve been experiencing and what we’ve discovered. After reviewing your history and examining the area, I believe you have a condition called vulvar lichen sclerosus, or VLS.

This is a chronic skin condition that affects the vulva. It can cause itching, discomfort, and changes to the skin, but I want to reassure you that with proper treatment, we can manage the symptoms effectively and prevent complications.

VLS isn’t contagious, and it’s not caused by anything you’ve done. It’s something that can happen due to various factors, like immune system changes. What’s important is that we’ve identified it, and there are treatments that can help—starting with a topical steroid ointment to reduce inflammation and prevent further skin changes.

I understand this may feel overwhelming, and I want you to know I’m here to support you. Let’s go over the next steps together, and please don’t hesitate to share any questions or concerns you have as we move forward.”

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Script 2: Reassuring and Collaborative Approach

Doctor:
“Thank you for sharing what you’ve been experiencing. Based on the symptoms you’ve described and my examination today, I believe you have a condition called vulvar lichen sclerosus, or VLS.

I know hearing this might be unexpected or concerning, but I want to reassure you that we can manage this condition. VLS is a chronic issue, which means it doesn’t go away completely, but with the right care, we can keep your symptoms under control and reduce the risk of complications.

To start, we’ll use a medication called clobetasol ointment, which is highly effective in calming the inflammation and protecting your skin. I’ll explain exactly how to use it, and I’ll make sure you feel comfortable with the plan before you leave today.

I also want to acknowledge that this might bring up a lot of questions or emotions. It’s okay to feel that way. We’ll approach this together, and I’ll be here to support you through every step. How are you feeling about this so far?”

3. Validating and Welcoming Exploration

"I want you to know that it’s completely okay to talk about your vulva and any changes you’ve noticed. It’s a part of your body, just like any other, and it deserves the same care and attention. Unfortunately, we don’t talk about vulvas enough in society, which can make these conversations feel uncomfortable or even taboo—but there’s no shame in discussing what’s happening with your body. This is a safe space to share, and I’m here to listen, answer your questions, and help you feel informed and supported."

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Validating Concerns

  • "It’s completely understandable to feel this way, and you’re not alone. Many people have similar concerns, and I’m here to support you."

  • "Your feelings about this are valid, and it’s important to talk about them so we can work together on a plan that feels right for you."

 

Gentle Reassurance

  • "I can see that this is something you’ve been worried about, and I want to reassure you that there are steps we can take to address it."

  • "This might feel overwhelming, but please know that we’ll take it one step at a time, and I’ll be here to guide you through the process."

 

Encouraging Open Communication

  • "If you feel comfortable, can you tell me more about what’s been on your mind? I want to make sure we address all of your concerns."

  • "It’s okay if it’s hard to talk about. Take your time, and we can approach this together."

 

Providing Education with Empathy

  • "This is a condition that many people experience, and there are treatments that can make a big difference. Let me explain a bit more and answer any questions you have."

  • "Changes to your body can be difficult to process, but understanding what’s happening can help us find the best way forward for you."

 

Normalizing Feelings

  • "Many patients feel similarly when they first experience this. It’s a big change, and it’s okay to take time to adjust."

  • "These feelings are a normal response to what you’re going through, and there are ways we can support you emotionally and physically."

 

Empathy in Action

  • "This is a safe space, and there’s no judgment here. I’m here to help you feel more comfortable and confident about your body and health."

  • "I appreciate you trusting me with this. Let’s talk about how we can address your concerns in a way that feels right for you."

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