Hi There is no permanent cure for ITP. But there are various drug options, best of which is steroids. If she is maintaining platelet counts well and not bleeding much, regular followup with the haematologist is enough. Steroid dependent patients especially with significant bleeding may be considered for a surgery called splenectomy. However the decision is best taken by the treating doctor after discussing both the pros and cons. It is very important to loose as much weight as possible. All the best