Genital Psoriasis

12 min read

Genital psoriasis is a skin condition that affects the genital area. It is a type of psoriasis, a chronic autoimmune disorder that causes skin cells to grow too quickly. Genital psoriasis can cause red, scaly patches on the skin of the genital area, including the vulva, penis, and anus. It can also cause itching, burning, and pain.

Causes of Genital Psoriasis

The exact cause of genital psoriasis is unknown, but it is believed to be related to an overactive immune system. It is also thought to be triggered by certain environmental factors, such as stress, certain medications, and skin injuries. People with a family history of psoriasis are more likely to develop genital psoriasis.

Diagnosis of Genital Psoriasis

Genital psoriasis is usually diagnosed by a physical examination. Your doctor may also take a skin sample to examine under a microscope. This can help to confirm the diagnosis and rule out other skin conditions.

Complications of Genital Psoriasis

Genital psoriasis can cause complications, such as skin infections, scarring, and pain. It can also cause psychological distress, such as anxiety and depression. In some cases, it can lead to sexual dysfunction.

Prevention of Genital Psoriasis

There is no sure way to prevent genital psoriasis, but there are some steps you can take to reduce your risk. These include avoiding triggers, such as stress and certain medications, and practicing good skin care. It is also important to seek medical attention if you experience any symptoms of genital psoriasis.

Take the Genital Psoriasis Assessment

Symptoms

Itching and Burning

One of the most common symptoms of genital psoriasis is itching and burning. This can range from mild to severe and can be very uncomfortable. The itching and burning can be worse at night and can interfere with sleep.

Red Patches

The red patches of skin associated with genital psoriasis can be itchy and uncomfortable. They may also be scaly and may crack and bleed. The patches can vary in size and may be located on the vulva, penis, or anus.

Painful Urination

Genital psoriasis can cause pain and burning during urination. This can be very uncomfortable and can make it difficult to urinate. It is important to seek medical attention if you experience this symptom.

Pain During Intercourse

Genital psoriasis can cause pain during intercourse. This can be due to the red patches of skin, which can be painful and uncomfortable. It is important to talk to your doctor if you experience this symptom.

Treatment

Genital psoriasis can be treated with topical medications, such as corticosteroids, vitamin D analogues, and retinoids. In some cases, oral medications may be prescribed. It is important to talk to your doctor about the best treatment option for you.

Causes

Hormonal Changes

Hormonal changes can trigger the onset of genital psoriasis. This is especially true for women, as hormonal fluctuations during puberty, pregnancy, and menopause can cause the condition to flare up. Additionally, some women may experience genital psoriasis as a result of taking certain types of birth control.

Genetic Factors

Genital psoriasis can also be caused by genetic factors. If you have a family history of psoriasis, you may be more likely to develop the condition. Additionally, certain genetic mutations can increase your risk of developing genital psoriasis.

Stress

Stress is another potential cause of genital psoriasis. Stress can cause the body to produce hormones that can trigger the onset of the condition. Additionally, stress can worsen existing symptoms of genital psoriasis.

Infections

Infections can also cause genital psoriasis. Bacterial and viral infections, such as herpes, can trigger the onset of the condition. Additionally, certain fungal infections can cause genital psoriasis.

Medications

Certain medications can also cause genital psoriasis. These include certain types of antibiotics, antifungal medications, and anti-inflammatory drugs. Additionally, some medications used to treat depression and anxiety can also cause genital psoriasis.

Environmental Factors

Environmental factors can also contribute to the development of genital psoriasis. Exposure to certain chemicals, such as detergents and soaps, can trigger the onset of the condition. Additionally, extreme temperatures and humidity can worsen existing symptoms of genital psoriasis.

Getting a Diagnosis

Diagnostic Tests

The first step in diagnosing genital psoriasis is to have a physical examination. Your doctor will look for signs of psoriasis, such as red, scaly patches of skin. They may also take a skin sample to examine under a microscope. This can help to confirm the diagnosis.

Your doctor may also order blood tests to check for other conditions that can cause similar symptoms. These tests can help to rule out other conditions, such as sexually transmitted infections.

Treatment

Once a diagnosis of genital psoriasis has been made, your doctor will recommend a treatment plan. This may include topical medications, such as corticosteroids or vitamin D analogues. These medications can help to reduce inflammation and itching. In some cases, oral medications may be prescribed to help control the symptoms.

It is important to follow your doctor’s instructions and use the medications as prescribed. This can help to reduce the symptoms and prevent the condition from getting worse.

Prevention

There are some steps you can take to help prevent genital psoriasis from occurring or getting worse. These include:

  • Avoiding triggers, such as stress, certain foods, and certain medications.
  • Using mild soaps and avoiding perfumed products.
  • Wearing loose-fitting clothing.
  • Using a humidifier to keep the air moist.
  • Avoiding sexual contact if you have an active outbreak.

Genital psoriasis can be a difficult condition to manage. However, with the right diagnosis and treatment plan, it can be managed effectively.

Questions for Your Doctor

Symptoms

Describe your symptoms to your doctor. Be sure to include any itching, burning, or pain you may be experiencing. Also, let your doctor know if you have any other skin conditions, such as eczema or dermatitis.

Diagnosis

Your doctor may need to perform a physical exam and take a sample of your skin to confirm a diagnosis of genital psoriasis. Ask your doctor about the process and what to expect.

Treatment Options

Your doctor may recommend topical medications, such as corticosteroids, to reduce inflammation and itching. Other treatments may include phototherapy, oral medications, or biologic drugs. Ask your doctor about the risks and benefits of each treatment option.

Lifestyle Changes

Your doctor may suggest lifestyle changes to help manage your symptoms. These may include avoiding certain foods, wearing loose-fitting clothing, and using mild soaps and moisturizers. Ask your doctor for specific recommendations.

Follow-up Care

Your doctor may recommend follow-up visits to monitor your progress. Ask your doctor how often you should come in for check-ups and what tests may be necessary.

Treatment

Topical Treatments

Topical treatments are creams, ointments, and lotions that are applied directly to the skin. These treatments can help reduce inflammation, itching, and scaling. Common topical treatments for genital psoriasis include corticosteroids, vitamin D analogues, coal tar, and salicylic acid.

Phototherapy

Phototherapy, also known as light therapy, is a treatment that uses ultraviolet light to reduce inflammation and scaling. It can be used alone or in combination with topical treatments. Phototherapy is usually done in a doctor's office or at home with a special light device.

Systemic Treatments

Systemic treatments are medications that are taken orally or injected. These treatments can help reduce inflammation and scaling, and they can also help reduce the risk of flare-ups. Common systemic treatments for genital psoriasis include methotrexate, cyclosporine, and biologic drugs.

Alternative Treatments

Alternative treatments are treatments that are not typically used to treat genital psoriasis, but they may be helpful in some cases. These treatments include herbal remedies, acupuncture, and dietary changes. It is important to talk to your doctor before trying any alternative treatments.

Lifestyle Changes

Making lifestyle changes can also help manage genital psoriasis. These changes include avoiding triggers, such as stress and certain foods, and wearing loose-fitting clothing. It is also important to keep the genital area clean and dry to help reduce irritation and inflammation.

Genital psoriasis can be uncomfortable and embarrassing, but there are treatments available to help manage the condition. Talk to your doctor about the best treatment plan for you.

Drugs & Medications

Topical Treatments

Topical treatments are the most common form of treatment for genital psoriasis. These include corticosteroids, vitamin D analogues, retinoids, coal tar, and salicylic acid. Corticosteroids are the most commonly prescribed topical treatment for genital psoriasis. They work by reducing inflammation and itching. Vitamin D analogues, such as calcipotriene, can help reduce the thickness of the plaques. Retinoids, such as tazarotene, can help reduce the redness and scaling of the skin. Coal tar can help reduce itching and scaling, while salicylic acid can help reduce the thickness of the plaques.

Light Therapy

Light therapy, also known as phototherapy, is another treatment option for genital psoriasis. This involves exposing the affected area to ultraviolet light, which can help reduce inflammation and itching. Light therapy is usually done in a doctor's office or at home with a special light box. It is important to follow the doctor's instructions carefully when using light therapy.

Systemic Treatments

Systemic treatments are medications that are taken orally or injected. These medications work by suppressing the immune system, which can help reduce inflammation and itching. Common systemic treatments for genital psoriasis include methotrexate, cyclosporine, and biologic drugs. These medications can have serious side effects, so it is important to discuss the risks and benefits with your doctor before starting treatment.

Alternative Treatments

There are also a variety of alternative treatments that may be helpful for genital psoriasis. These include dietary changes, stress reduction, and herbal remedies. Dietary changes may include avoiding certain foods that can trigger psoriasis flares. Stress reduction techniques, such as yoga and meditation, can help reduce stress levels, which can help reduce psoriasis flares. Herbal remedies, such as aloe vera and tea tree oil, may also be helpful in reducing inflammation and itching.

Conclusion

Genital psoriasis can be a difficult condition to manage, but there are a variety of treatments available to help reduce symptoms. Topical treatments, light therapy, systemic treatments, and alternative treatments can all be used to help manage the symptoms of genital psoriasis. It is important to discuss the risks and benefits of each treatment option with your doctor before starting any treatment.

Diet

What to Eat

The following foods may help reduce inflammation and improve symptoms of genital psoriasis:

  • Omega-3 fatty acids: Found in fatty fish, such as salmon, mackerel, and sardines, as well as walnuts, flaxseeds, and chia seeds.
  • Fruits and vegetables: Especially those high in antioxidants, such as berries, spinach, kale, and other leafy greens.
  • Whole grains: Such as oats, quinoa, and brown rice.
  • Healthy fats: Found in avocados, olive oil, and nuts.
  • Fermented foods: Such as yogurt, kefir, and sauerkraut.
  • Herbs and spices: Such as turmeric, ginger, and garlic.

What to Avoid

The following foods may worsen symptoms of genital psoriasis:

  • Refined carbohydrates: Such as white bread, pasta, and pastries.
  • Processed foods: Including processed meats, such as hot dogs and deli meats.
  • Sugary drinks: Such as soda and fruit juice.
  • Alcohol: Especially beer.
  • Caffeine: Found in coffee, tea, and energy drinks.
  • Trans fats: Found in fried foods and processed snacks.

Conclusion

While there is no specific diet for genital psoriasis, certain foods may help reduce inflammation and improve symptoms. Eating a diet rich in fruits, vegetables, whole grains, and healthy fats, and avoiding processed foods, sugary drinks, alcohol, caffeine, and trans fats may help reduce symptoms of genital psoriasis.

Lifestyle

1. Keep the Area Clean and Dry

Keeping the genital area clean and dry is essential for managing genital psoriasis. Use a mild, fragrance-free soap and warm water to clean the area. Avoid scrubbing or using harsh soaps, as this can irritate the skin. After bathing, gently pat the area dry with a soft towel. Avoid rubbing the area, as this can cause further irritation.

2. Wear Loose-Fitting Clothing

Wearing loose-fitting clothing can help reduce irritation and discomfort caused by genital psoriasis. Choose clothing made from natural fabrics, such as cotton, which allow the skin to breathe. Avoid tight-fitting clothing, as this can cause further irritation.

3. Avoid Irritants

Certain products and activities can irritate the skin and worsen genital psoriasis. Avoid using perfumed soaps, lotions, and other products on the genital area. Also, avoid activities that can cause friction, such as cycling or horseback riding. If you must engage in these activities, wear protective clothing to reduce irritation.

4. Use Moisturizers

Using a moisturizer can help reduce itching and discomfort caused by genital psoriasis. Choose a moisturizer that is specifically designed for sensitive skin. Apply the moisturizer to the affected area several times a day. Avoid using products that contain fragrances or other irritants.

5. Seek Medical Treatment

If lifestyle changes are not enough to manage genital psoriasis, it is important to seek medical treatment. Your doctor can prescribe medications or other treatments to help reduce symptoms and improve your quality of life.