Treatment
Genital psoriasis
Topical Treatments
- Corticosteroid Creams: Low to moderate potency steroids can reduce inflammation and itching.
- Coal Tar Preparations: Mild formulations can be used cautiously to avoid irritation.
- Vitamin D Analogues: Calcipotriol may be effective but can irritate sensitive skin.
- Calcineurin Inhibitors: Tacrolimus and pimecrolimus are alternatives to steroids but can cause burning sensations and reactivation of infections.
Systemic Treatments
- Oral Medications: Such as methotrexate or cyclosporine for severe cases.
- Biologics: Recent studies show efficacy in using biologics like ixekizumab for rapid improvement.
Treatments to Avoid
- Dithranol and Retinoids: Often too irritating for sensitive genital skin.
- UV Light Therapy: Increased risk of skin cancer in genital areas.
- Strong Coal Tar: Potential carcinogenic risk.
- Lifestyle and Home Remedies
- Emollients: Keep skin moisturized to reduce irritation and scaling.
- Loose Clothing: To minimize friction and irritation.
- Gentle Cleansers: Avoid perfumed or antibacterial soaps that can aggravate symptoms.
- Barrier Creams: Protect skin from irritants like urine and feces.
Avoiding Irritants
- Use prescribed treatments: Only use medications specifically recommended for genital psoriasis.
- Monitor for irritation: Report any adverse effects to a healthcare provider.
- Choose mild, fragrance-free products: To cleanse and moisturize the affected area.
- Prevent friction: Wear loose-fitting clothing and use quality toilet paper.
- Coping and Support
Genital psoriasis can significantly impact quality of life and sexual well-being. Open communication with healthcare providers and partners is crucial for managing the condition. Emotional support from mental health professionals can also be beneficial.
Tips for Sexual Activity
- Communicate: Discuss your condition with your partner to alleviate concerns.
- Use lubrication: To reduce friction during intercourse.
- Post-coital care: Cleanse the area gently and reapply medications as needed.
Managing Flares
- Medication adherence: Follow treatment plans consistently.
- Hygiene: Maintain cleanliness to prevent secondary infections.
- Diet: High-fiber foods can ease bowel movements and reduce irritation.
References
DermNet NZ. (2023). Genital Psoriasis. Retrieved from https://www.dermnetnz.org/topics/genital-psoriasis
Cleveland Clinic. (2023). Psoriasis: Symptoms, Causes, and Treatments. Retrieved from https://www.clevelandclinic.org
American Academy of Dermatology (AAD). (2022). Genital Psoriasis: Overview and Management. Dermatology Practice Guidelines.
