Genital involvement is described in 33 to 49% of men with psoriasis. Also, genital involvement can be isolated (2 to 5% of men) or, more frequently, accompanied by lesions located outside the genitals (elbows, knees, scalp, etc.).
In our previous article we talked about the genital psoriasis in women, so this article represents a normal continuation of this series.
Are there several forms of genital psoriasis?
Lesions can be located on the penis, scrotum or inguinal folds (or groin folds, located at the top of the thighs). Damage to the scrotum or glans in circumcised men is characterized by inflammation (redness or erythema) and dander.
On the contrary, in uncircumcised men and in the inguinal folds, redness is frequently observed, the typical scales of psoriasis being absent due to the local humidity. Also, itching (pruritus), a burning sensation or even pain is sometimes present.
How to treat / cure genital psoriasis in men?
What treatments are suitable for curing this localization?
Above all, treatments must be suitable to the specifics of this genital location: sensitive, easily irritated thin skin.
As a first intention, local treatments in conformity with dermocorticoids and / or derivatives of vitamin D are common, and by preferring creams and lotions to ointments, the latter being able to aggravate maceration.
Psoriasin Daytime Skin Relief Cream with Botanicals & Vitamin D3
Psoriasin Daytime Skin Relief Cream work rapidly to stop the flaking, itching, redness, and related discomforts associated with psoriasis.
Also, it combines an effective low dose of coal tar in a smoothing cream base to absorb rapidly with no greasy residue.
You can use this cream in a day to relief symptoms of psoriasis. It also helps to restore your skin to a more natural-looking experience.
- Prompt flare-up control
- Non-greasy absorbs quickly
- Reliable cortisone alternative
- Helps prevent recurrence
The so-called systemic treatments (tablets and biotherapies) are only prescribed in the event of extensive skin damage, and not for isolated genital damage.
How to reduce the pain or itching caused by psoriasis on the penis?
The application of fresh water may also reduce the “baking” nature of the plates. Local hydration can reduce itching, thanks to milks or emollient creams, but by excluding scented products on the one hand, and excessively fatty forms such as balms and ointments on the other hand.
Which personal hygiene products to use?
Using greasy soaps, cleansing gels for personal hygiene and better still, syndets (or synthetic detergents) will limit drying of the skin and mucous membranes.
I can also recommend, in order to limit local humidity, a thorough drying after washing, by dabbing with a towel rather than rubbing, or even using a hair dryer at medium temperature.
Then, I recommend that you apply a good moisturizer for sensitive skins, like the …
Puriya Dry Cracked Sensitive Skin Moisturizer | Plant Rich Instant Lasting Relief. It Hydrates and Softens Coarse Skins
I recommend the use of Puriya for instant relief from Psoriasis, Eczema, muscle pain, nasal congestion, and soothe your scaly, dandruff, itchy or cracked skin problems.
It is an intensive moisture for even the most stubborn, rough, dry and also sensitive skin. So, I recommend the use of this cream to repair natural skin barrier against harsh natural elements.
You can also use it to promote and restore the smooth texture and glowing of your skin.
- 180 Day Manufactures guarantee
- Instant and lasting itch relief
- Reduces redness and swelling
- Intensive Moisturizer
- Non-irritating and powerful with no greasy feel
Some men prefer to use a moisturizer in a spray for, in this case I recommend the …
Omeza Omega 3 Oil – Moisturizing Body Oil for Skins Prone to Eczema, Dry Skin and Psoriasis
Omeza Omega 3 Oil spray is the full spectrum of omega fatty acid oil spray. It will provide essential topical nutrition and reduce inflammation from the skin.
In clinical case studies, 100% of the users give feedback that their skin felt hydrated and silky smooth after a week of using it. It provides moisturization without the feeling of being greasy as much as 8 hrs of moisturization.
- Proven to result in visibility healthier skin
- Lightweight body oil for dry skin
- Fast absorbing oil
- Ingenious skin repair
- Totally natural moisturizer
What kind of clothes can you wear?
Natural (cotton) and synthetic fiber underwear and loose pants should be the preference to reduce perspiration and limit local moisture.
Is the buttock fold systematically affected when there is genital involvement?
If the involvement of the inter-gluteal fold is frequent in cases of localized psoriasis at the inguinal folds, it is more rare in case of psoriasis of the scrotum or the penis.
The hygienic advice and the principle of treatment of genital psoriasis also apply to psoriasis of the buttock fold.
Appropriate advice and remarks
Can you use a condom in the midst of psoriasis?
While some men report worsening of their genital psoriasis with condom use, others indicate that it facilitates intercourse by reducing frictional trauma.
It is therefore up to each patient to assess the effects of the condom on his psoriasis, the important thing being to use another method of contraception and / or prevention of sexually transmittable infections if you do not use the condom.
Should we avoid intercourse with penetration if the penis is inflamed?
You should only avoid intercourse if psoriasis makes them uncomfortable or even painful. You can obtain an increase in comfort by using a lubricating gel.
Can Psoriasis Cause Sexual Disorders?
Sexual disturbances are present, to varying degrees, in 25 to 70% of psoriasis patients, and are more common in cases of genital involvement.
These disorders can affect the libido, erection (impotence), or ejaculation.
After eliminating an organic cause other than psoriasis (hormonal, neurological or vascular disorder), treatment (drugs or psychotherapy) may be considered.
How to differentiate men genital psoriasis from mycosis?
Can we also have both at the same time?
Genital psoriasis can indeed become infected and become a complication by a yeast infection.
We should suspect a yeast infection in the event of a relapse of genital psoriasis even when the treatment is well conducted, or in the event of the appearance of genital lesions different from the initial psoriasis.
In case of doubt, a local mycological sample will be taken to authenticate the mycosis.
Can we confuse genital psoriasis and STI (Sexually Transmitted Infection)?
It is usually easy for a dermatologist to clinically distinguish a genital psoriasis from an STI (Sexually Transmitted Infection), but in case of doubt, he can make local or blood samples for infection, or even perform a skin biopsy genital to authenticate psoriasis and eliminate an STI possibility.
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