7 Tips for Managing Genital Psoriasis

Doctor William C Lloyd Healthgrades Medical Reviewer
Medically Reviewed By William C. Lloyd III, MD, FACS
Written By Erin Azuse, RN on October 30, 2022
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    Living with genital psoriasis can be challenging.
    Psoriasis is a skin condition characterized by scaly patches of skin on the body called plaques. Though psoriasis plaques are often seen on areas like the elbows, knees, and scalp, they can appear anywhere on the body, including the genital area. Genital psoriasis presents some unique challenges when it comes to recognizing, treating, and living with it from day to day, but there are a number of things you can do to make it more manageable.
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    1. Be aware that genital psoriasis can look different from psoriasis in other areas.
    Many people think of psoriasis as red, thick, and scaly patches of skin, but genital psoriasis often manifests itself differently. The most common type of genital psoriasis, called inverse psoriasis, occurs in skin folds like the groin and appears as smooth, red, or reddish-white areas of skin. It can also be found on the upper thighs, above or directly on the genitals, and around the anus. Small red patches or cracks in the skin, called fissures, may also be seen.
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    2. Don’t try and treat genital psoriasis yourself.
    Most people with genital psoriasis also have psoriasis on other parts of their bodies. But even if you have a topical psoriasis treatment you use on other areas, it’s likely too strong to use on the thin and delicate skin in your genital region. Genital psoriasis can also be hard to distinguish from some infections and rashes (or can occur in addition to them), so it’s always best to have it examined by your doctor. Sometimes a skin biopsy is needed to make the correct diagnosis.
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    3. Learn to avoid things that trigger your psoriasis or cause further irritation.
    As with all types of psoriasis, you can expect your genital psoriasis to flare up at times and improve during others. If you can determine what causes your psoriasis to flare, you can then try to limit your exposure to these triggers. For example, friction and sweat can exacerbate inverse psoriasis and make symptoms of itching and soreness worse. To help this, use soft, absorbent toilet paper, avoid tight clothing, wear cotton underwear, and don’t scratch the area.
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    4. Keep your skin clean and moisturized.
    It’s important to bathe or shower regularly to keep the genital area clean, but don’t stay in hot water for extended periods of time. Look for gentle, fragrance-free products to cleanse the area, and pat gently to dry. Apply moisturizer directly afterwards and throughout the day as necessary. You can also apply cold compresses to itchy or irritated areas to help bring some relief.
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    5. Let your doctor know if your genital psoriasis treatment isn’t working.
    Topical treatments like steroids will often be the first step taken to treat genital psoriasis, but let your doctor know if you’re still experiencing troublesome symptoms. Finding what works may require some trial and error, but there are other options available to you. For some people, ultraviolet light treatment is helpful. Others may require systemic treatments that affect the entire body. These include oral and injectable medications that suppress your immune system or change the way your immune system works.
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    6. Don’t be afraid to talk to your partner about it.
    It’s up to you to decide at what point in your relationship you feel comfortable talking with your partner about your genital psoriasis, but remember that being honest is key. Some people may be nervous about the appearance of their psoriasis or worry that their partner will think it’s contagious. A healthy conversation may help put these fears to rest. Sex may be physically uncomfortable at times, so it’s important to communicate that to your partner as well. Using a condom or lubricant may help minimize friction and make the experience more pleasurable.
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    7. Seek support from others.
    Genital psoriasis is a physical disease, but don’t neglect the emotional impact it can have on your life. Joining a support group can be very helpful, whether it’s meeting face to face or finding an online community. By connecting with others who can relate to your experience, you can find a safe place to ask questions, share concerns, and learn from one another. Ask your doctor if you need help finding a group.
Tips for Managing Genital Psoriasis | Inverse Psoriasis
  1. Genital Psoriasis. National Psoriasis Foundation. https://www.psoriasis.org/about-psoriasis/specific-locations/genitals
  2. Genital Psoriasis. The Psoriasis and Psoriatic Arthritis Alliance. http://www.papaa.org/further-information/genital-psoriasis
  3. Genital Psoriasis: How to Treat and Manage it. National Psoriasis Foundation. https://www.psoriasis.org/advance/genital-psoriasis-how-to-treat-it-how-to-manage-it
  4. Psoriasis. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/psoriasis/symptoms-causes/syc-20355840
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Last Review Date: 2022 Oct 30
THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on the site. If you think you may have a medical emergency, immediately call your doctor or dial 911.