The term psoriasis is associated with the well-known skin disease that causes scales, rashes, and itching. However, many people do not know about genital psoriasis, although it is one of the common and chronic types that affects about 2% of the world's population. This condition affects the skin in the genital and anal areas, and is not limited to adults of both sexes, but can also affect children. In this article, we will review more information through the Dalili Medical website about genital psoriasis and its impact on sexual life in general, in addition to its effect on erection in men.

What is genital psoriasis?

 

Genital psoriasis is a type of psoriasis that appears in the genital area, including the upper thighs, groin, pubis, vulva, penis, as well as the skin folds between the buttocks. This condition is considered a type of inverse psoriasis, as it usually appears in the folds of the skin and is characterized by the presence of smooth red lesions instead of the scaly patches seen in other types of psoriasis.

. What causes genital psoriasis?

 

Causes include genetic factors, immune system disorders, and triggers such as stress, infection, or injury.

. What are the symptoms of genital psoriasis?

 

Symptoms include red, inflamed patches, itching, and discomfort in the genital area.

. How is genital psoriasis treated?

 

Treatment includes topical steroids, vitamin D creams, and sometimes light therapy.

. How does genital psoriasis affect women?

 

Women may experience more discomfort due to the high sensitivity of the skin in the genital area, which often requires specialized treatment.

What is the best cream for genital psoriasis?

 

Creams containing low-potency steroids or nonsteroidal treatments such as calcineurin inhibitors are among the best, as they help prevent irritation.

How can I tell if I have genital psoriasis?

 

– Genital psoriasis can be difficult to distinguish from contact dermatitis or other infections. Even if you have psoriasis, it’s not possible to tell for sure if your genital rash is caused by it.

– If your skin is cracked, you’re more susceptible to bacterial or fungal infections. It’s possible to have genital psoriasis and an infection at the same time, which may require a combination of treatments.

– The skin around your genitals is very sensitive, so you need to be careful. If you apply any treatment, make sure it’s suitable and safe for the area.

Can I continue having sex if I have genital psoriasis?

 

If you have active genital psoriasis, the friction of sexual contact can be painful and may make your symptoms worse. It’s best to talk to your doctor about whether condoms or lubricants are appropriate, and which ones are best. After sex, make sure to gently clean and dry the area well. It’s also good to know that genital psoriasis is not sexually transmitted, and it doesn’t affect fertility.

How does psoriasis affect sex life?

 

Intimacy and the resulting friction can exacerbate symptoms and increase inflammation. Therefore, your doctor may recommend using a lubricated condom to reduce friction as much as possible.

Condoms also act as a barrier to prevent skin contact with secretions that may lead to increased inflammation.

Psoriasis also affects sex life due to the uncomfortable appearance of the genitals, which can cause a feeling of embarrassment. Therefore, it is important for couples to talk together about the feelings of the affected party and for the other party to provide support and reassurance.

In general, as we mentioned, there is no objection to having sex with genital psoriasis, as long as it does not exacerbate symptoms.

What is the relationship between psoriasis and marriage?

 

If you suffer from psoriasis and are thinking about marriage, it may be best to postpone this step a little until you consult your doctor. This is because psoriasis can affect sexual ability in men, as studies indicate that more than 40% of people with psoriasis report problems with sexual function. This is often due to embarrassment and discomfort from the appearance of psoriasis, as well as the accompanying symptoms such as itching, pain and redness. It is important for couples to realize that genital psoriasis is not contagious and is not transmitted through sexual intercourse or sexual activities. If psoriasis does not have a direct impact on sexual relations or the psychological aspect, couples can enjoy a successful intimate relationship, as it ultimately depends on personal preferences. It should also be noted that genital psoriasis does not affect fertility, unless the man is unable to complete the sexual process and ejaculate. In this case, the effect is due to erectile dysfunction, which may occur as one of the psychological consequences associated with psoriasis, and not due to the disease itself.

**Causes of genital psoriasis**

The exact cause of genital psoriasis is still not completely clear, but it is believed that there is a group of factors that play a role in its development.

**Genetic predisposition** Genetic factors are a major factor in the development of psoriasis. People who have a family history of this disease, including genital psoriasis, are more susceptible to it.

**Weakened immune system**Psoriasis is an autoimmune disease, in which the immune system incorrectly attacks healthy skin cells. This causes skin cells to turn over too quickly, causing the characteristic lesions of psoriasis.

**Environmental factors**Some environmental factors can aggravate genital psoriasis. These factors include stress, infections, skin injuries, and exposure to irritants or allergens.

**Hormonal changes**Hormonal fluctuations, especially during puberty, pregnancy, or menopause, can affect the onset or severity of genital psoriasis. This is especially true for women who may notice changes in their condition during their menstrual cycle.

**Lifestyle factors** Lifestyle factors such as stress, diet, and level of physical activity can all contribute to psoriasis.

What are the five types of psoriasis?

. **Genital psoriasis**: This condition affects the skin in the genital area and upper thighs.

. **Scalp psoriasis**: It affects more than 60% of people with psoriasis, and includes areas such as the hairline, forehead, back of the neck, and the skin in and around the ears.

. **Facial psoriasis**: It affects about 50% of people with psoriasis, and can affect any area of ​​the face, including the eyebrows, the skin between the nose and upper lip, and the forehead.

. **Plagiolytic psoriasis**: This condition affects the palms of the hands and/or soles of the feet. Between 12% and 16% of people with psoriasis have this type. It can also affect the nails.

**Psoriasis in the skin folds** Psoriasis can affect the skin folds in areas such as the underarms and breasts. These areas are often irritated by friction and sweating.

Psoriasis is classified into five types based on the appearance of symptoms, including:

**Guttate psoriasis** affects about 8% of people with psoriasis. It shows small, circular, red or discolored patches of inflammation. Symptoms most often appear on the arms, legs and trunk, but can affect any area of ​​the body.

**Pustular psoriasis** affects about 3% of people with psoriasis and causes symptoms such as blisters (painful, white, pus-filled bumps) that may be surrounded by inflamed, red skin. Pustular psoriasis may appear on specific areas of the body, such as the hands and feet, or it may cover most of the body.

**Plaque psoriasis**Also known as plaque psoriasis, it is the most common type, affecting up to 80% of people with psoriasis. The scales can appear anywhere on the body as raised patches of inflamed skin, and are itchy and painful. The skin may sometimes be red with silvery-white scales.

**Inverse psoriasis**Inverse psoriasis affects about 25% of people with psoriasis. It is characterized by deep red skin inflammation or smooth, dark skin that does not peel. This condition affects skin folds in areas such as the armpits, under the breasts, genital area, and buttocks. Inverse psoriasis can cause intense itching and pain, which may be made worse by sweating and scratching in these areas.

**Erythrodermic psoriasis**Erythrodermic psoriasis is a rare type that affects only about 2% of people with psoriasis. This type can cause severe redness or discoloration of the skin, as well as significant shedding of skin layers. It often affects most parts of the body, and can have life-threatening consequences. Other symptoms include intense itching, pain, changes in heart rate, temperature, dryness, and changes in the shape and color of the nails.

**Symptoms of Genital Psoriasis**

Recognizing the symptoms of genital psoriasis is vital for diagnosis and effective treatment.

**Redness and Inflammation**The most prominent symptom associated with genital psoriasis is redness and inflammation in the affected area. The skin may appear bright red and feel warm to the touch.

**Itching and Burning**Many patients with genital psoriasis experience intense itching and burning sensations. These symptoms can lead to an increased urge to scratch, which can worsen the condition and lead to additional irritation or secondary infection.

**Smooth lesions**Unlike other types of psoriasis that appear as scaly patches, genital psoriasis usually presents as smooth, red lesions. These lesions are particularly sensitive due to the thinness of the skin in the genital area.

**Pain and discomfort**Symptoms of genital psoriasis can cause significant pain and discomfort, especially during sexual activity or when urinating or defecating. This can negatively impact the quality of life and psychological well-being of those affected.

**Secondary infections**Due to the heat and moisture in the genital area, the skin becomes more susceptible to bacterial infections.

**Top tips to reduce the impact of psoriasis on your sex life**

It is safe to have sex even with genital psoriasis, but some people may feel uncomfortable. Here are some tips that may help reduce this discomfort:

- Avoid intercourse if the genital area is inflamed.

- Keep the genitals clean, especially after intercourse, and dry them gently with cotton towels or soft tissues.

- Use a lubricated condom or medical lubricants to avoid irritation of inflamed areas.

- Apply topical preparations recommended by your doctor after cleaning and drying your genitals, to reduce potential irritation after intercourse.

**Treatment of psoriasis in sensitive areas**

Treatments for psoriasis in sensitive areas include the following:

**Topical treatments**Topical treatments are usually the first line of treatment for genital psoriasis, and include:

**Corticosteroids**Low to moderate potency corticosteroids help reduce inflammation and itching. However, their use for long periods should be avoided due to potential side effects, especially in sensitive areas such as the genitals.

**Calcineurin inhibitors**Calcineurin inhibitors, such as tacrolimus and pimecrolimus, are effective in reducing inflammation and are less likely to cause skin thinning than corticosteroids. Therefore, they are often preferred in sensitive areas.

**Moisturizers** Regular use of moisturizers helps soothe the skin and prevent dryness.F and cracking. It is preferable to choose products that are free of fragrances and are intended for sensitive skin.

. **Topical psoriasis treatment** Psoriasis in sensitive areas is treated using a variety of creams that aim to remove and soften scales, in addition to treating inflammatory spots on the skin. It is necessary to consult a doctor before using these creams, as sensitive areas require special types that do not cause irritation. Ointments should also be applied for the entire period specified by the doctor.

. **Psoriasis treatment with light** Psoriasis is treated with light by exposing the skin to ultraviolet rays, which work in various ways to reduce inflammation and regulate the rate of skin cell division.

. **Systemic drug therapy** This treatment includes giving the patient medications aimed at reducing the symptoms of psoriasis. This type of treatment can be used as a single treatment or as part of an integrated treatment plan that includes radiation therapy, ointments, and other treatments.

. Climatic Treatment for Psoriasis in the Dead Sea** A stay of 10 days to two weeks during the spring and summer months, with regular exposure to sunlight and bathing in the Dead Sea, can achieve effective therapeutic results. Therefore, a trip to this place can be planned for recreation and treatment at the same time.

. Biological treatment** Psoriasis treatment in sensitive areas is resorted to when previous treatments are unsuccessful. Biological drugs have been developed over the past decade, and they work by targeting specific proteins that affect the activity of immune system cells responsible for the development of this disease in the skin.

It is important to note that treatments are given in various combinations depending on the patient's condition and the area of ​​the body affected by the disease.

Oral medications** Oral medications such as methotrexate, cyclosporine, and acitretin can help manage severe cases of psoriasis by suppressing the immune system or reducing skin cell renewal.

Lifestyle modifications** Some lifestyle changes can also help treat genital psoriasis. These changes include:

Stress management** Stress can exacerbate psoriasis attacks. So, techniques like...

Eating a balanced diet**A balanced diet that includes fruits, vegetables, lean proteins, and omega-3 fatty acids contributes to overall skin health. Avoiding triggers such as alcohol and processed foods can also have a positive effect.

Exercising regularly**Regular physical activity helps reduce stress levels, improve immune function, and support overall health.

### Best creams for genital psoriasis

When choosing the best cream for genital psoriasis, consider effectiveness, safety, and suitability for sensitive areas of skin.

#### Hydrocortisone cream Hydrocortisone cream is a mild corticosteroid that helps reduce inflammation and itching. It is recommended for short-term use on sensitive areas.

#### Tacrolimus ointment Tacrolimus ointment is a non-steroidal option that helps reduce inflammation effectively, with fewer side effects than corticosteroids. It is considered suitable for long-term management.

#### Moisturizing creams Moisturizing creams, such as those containing ceramides or urea, help keep the skin hydrated and reduce discomfort. It is best to choose products that are fragrance-free and suitable for sensitive skin.

#### Joykerman treatment Joykerman treatment combines the use of coal tar and light therapy, which enhances the effectiveness of the treatment, especially with ultraviolet B rays.

**Broad spectrum UVB therapy:** involves exposing the skin to ultraviolet B rays from an artificial source. Regular sessions are required to achieve improvement in the condition, and then maintenance sessions are followed.

**Narrow spectrum UVB therapy:** This type is more effective than broad spectrum therapy, and is frequently used to treat severe cases of psoriasis. These treatments may be accompanied by some side effects such as itching and skin inflammation.

**Psoralen with UVA:** involves taking a light-sensitive medication (psoralen) before exposure to ultraviolet A rays, which enhances the skin's response to the treatment.

**Excimer Laser:** is used to precisely target the affected areas, as it relies on a stronger light than ultraviolet "B" rays, which reduces the number of sessions required for treatment.

**Treatment of hair psoriasis at home**

Some herbs can contribute to treating psoriasis and alleviating the symptoms associated with it:

- **Aloe Vera**: It is effective in soothing redness and nourishing the skin affected by psoriasis, and it also helps in healing wounds and soothing burns.

- **Oregon Grape**: It is used to reduce the immune response that leads to the appearance of psoriasis, and is characterized by its anti-inflammatory effects.

- **Tea Tree Oil**: It is used topically to reduce the size of psoriasis and prevent infection.

- **Milk Thistle**: It contains silymarin, which contributes to healing liver damage and improving its functions.

- **Turmeric**: It contains curcumin, which reduces inflammation in the body, and can help reduce psoriasis activity.

- **Apple cider vinegar**: It is effective in relieving itching associated with psoriasis, especially on the scalp, but it is recommended to dilute it before use and avoid applying it to damaged skin.

**Salt bath:** Provides temporary relief from itching and dryness by adding Epsom salt or Dead Sea salt to warm water, which helps remove scales and relieve itching.

**Oatmeal bath:** Contains a group of beneficial vitamins and minerals such as selenium, manganese and iron, which contribute to nourishing and soothing skin affected by psoriasis.

**Fish oil or omega-3 fats:** Contributes to reducing inflammation and alleviating the severity of autoimmune diseases, and can be obtained from fatty fish such as salmon and mackerel.

**TreatmentPsoriasis in the hair with salicylic acid:** Salicylic acid shampoo is used to treat the scalp, as it helps reduce psoriasis scales. Salicylic acid is available in different strengths, both by prescription and over-the-counter. These products can be used alone or in combination with other topical treatments to prepare the scalp for better absorption of the medication.

**Sunlight therapy:** Brief exposure to sunlight can improve psoriasis, especially on the scalp. It is important to consult a doctor before starting this treatment to determine the safest way to use natural light.