Psoriasis in the intimate area that helps with psoriasis

Psoriasis in the intimate area usually looks rather uncharacteristic. Easily mistaken for a fungal infection. Often the disease also puts a strain on the relationship and sexuality. Read here everything about symptoms, treatment and how to deal with psoriasis in the intimate area.

Psoriasis in the intimate area that helps with psoriasis

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For many sufferers, psoriasis is a stressful disease that considerably reduces their quality of life. If it occurs in the intimate area, women in particular also suffer from sexual dysfunction and shame is high. For those affected, it is not only the excruciating itching that is a problem. It is estimated that up to 40 percent of people with psoriasis have complaints in the intimate area.

Psoriasis in the intimate area that helps with psoriasis

Symptoms of psoriasis in the genital area

Psoriasis in the genital area occurs in both men and women. Affects mainly the groin, the mons pubis with the pubic hair, the genitals themselves (in men the root of the penis, the glans and the scrotum, in women the vulva with the labia) and the perineum, i.e. the skin between the genitals and anus or around the anus.

The symptoms of psoriasis in the intimate area are rather untypical for psoriasis, because the characteristic scaling between the skin folds is missing. Thus, the affected areas usually appear flaming red and sharply defined. They may ooze. Mostly they itch strongly. Scratching and rubbing cause painful fires and sores, which can extend especially from the skin around the anus to the entire buttock crease.

For those affected, the symptoms are usually extremely unpleasant. Especially the itching is for many almost unbearable. Psoriasis in the intimate area causes discomfort during sexual intercourse and urination due to the open areas. Prolonged sitting, walking or sweating during exercise can aggravate the symptoms.

Since infections with yeast fungi cause a similar clinical picture, the diagnosis can be easily confused. However, yeast fungi actually prefer to settle on the sore areas, so that a fungal infection can also occur.

Dealing with psoriasis in the intimate area

Psoriasis in the genital area does not only cause itching and pain, it also puts relationships to a hard test. For many, the symptoms impair their own body image and diminish their desire for sexuality. Shame or the fear that the partner might be disgusted or afraid of infection are often an insurmountable barrier when getting to know each other. Conflicts often arise in existing relationships, because some partners find it difficult to accept the disease and to react with understanding when the affected person withdraws out of shame.

Whether in an existing relationship or in a relationship in the making – it is important and also relieving to talk to your partner about the disease. Psoriasis in the genital area is neither contagious nor is it caused by a lack of hygiene. The partner should definitely know this. If there is a trusting relationship with the dermatologist treating the patient, a joint visit and an informative medical discussion can also contribute a great deal to a better understanding.

It is also helpful to make contact with other sufferers, for example in a self-help group or in discussion forums on the Internet. Internet forums also have the advantage that posts can be made anonymously if desired, which makes it much easier to share experiences on intimate topics. Psoriasis in the genital area is often persistent. Therefore difficult to treat. Many agents that have proven effective for psoriasis therapy on other parts of the body are not suitable for use in the intimate area because they excessively irritate the mucous membranes. Greasy ointments can aggravate inflammation in a warm, moist environment. Therefore, it is important to find a compatible moisturizer for skin care. When choosing a cream, make sure that it does not contain any allergenic or additionally irritating ingredients such as perfumes or odorants. Sitting baths with synthetic tannins, which have an anti-pruritic and anti-inflammatory effect, are also considered to be helpful and harmless even with long-term use.

Treatment can be with cortisone-containing creams, which should only be applied for days at a time and in low doses, as prolonged use can lead to side effects. Cortisone creams can be combined with vitamin D preparations or tar products to achieve a better effect. Vitamin D3 derivatives are also used with caution because they irritate the sensitive skin and there is a risk that too much vitamin D will be absorbed by the body through the thin mucous membranes.

Good experiences in the therapy of genital psoriasis have been made with the so-called calcineurin inhibitors Tacrolimus and Pimecrolimus. However, these preparations are only approved in Germany for the treatment of neurodermatitis and are only prescribed in exceptional cases.

If there is an infection with yeast fungi in addition to psoriasis in the intimate area, this must be treated with appropriate medication.

Tips for those affected

Wearing comfortable clothing is recommended in order to avoid unnecessary skin irritation. Underwear and pants should not be too tight-fitting. Use materials that are as kind to the skin as possible. For affected women, it is recommended to refrain from the permanent use of panty liners in case of psoriasis in the genital area. Intimate hygiene should be carried out with gentle washing lotions and should not be overdone.

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