Psoriasis: Silvery-white scales and intense itching
Psoriasis is an autoimmune disease that causes inflammation and an abnormally rapid turnover of skin cells in the outermost layer of the skin. It manifests as round, sharply defined, thickened, and intensely red patches, often accompanied by severe itching. These patches, called plaques in medical terms, are covered with large silvery-white scales.
Psoriasis, including in the genital area, typically occurs in flare-ups, alternating between symptomatic and symptom-free periods:
- The German term Schuppenflechte refers to the silvery-white scales.
- The medical term Psoriasis (derived from Greek) refers to the intense itching associated with the condition: psao = “I scratch.”
Psoriasis can also affect other organs. It is not uncommon for joints to become inflamed (psoriatic arthritis) or for nails to change in appearance and texture (nail psoriasis).
Psoriasis in the genital area: Physical discomfort
When psoriasis affects the genital area, the characteristic scaling is often absent due to moisture in this region, which causes the scales to detach naturally and unnoticed. However, as described earlier, psoriasis patches appear as intensely red areas. They often itch unbearably and may even become moist or weepy.
Psoriasis in the genital area can occur in the following locations:
- In women: on the pubic mound, vulva, and labia, as well as in the adjacent groin area.
- In men: on the glans, penile base, and scrotum.
In both genders, psoriasis in the genital area can also affect the perineum (the area between the genitals and anus) and the region around the anus. Scaling is usually absent in these areas as well.
Psoriasis in the genital area: Emotional impact
Intimate moments without direct skin contact are hardly imaginable. This can be a challenge for people with psoriasis. Many feel uncomfortable in their own skin and are ashamed—unjustly so—of their red, scaly psoriasis patches. As a result, dating, relationships, and sexual life may suffer, particularly when psoriasis affects the genital area. Not only do visible skin changes and itching create difficulties, but pain and burning sensations may also further impact sexual experiences.
It is reassuring for people with psoriasis to know that their condition does not have to be a barrier to a fulfilling sex life: Psoriasis is not contagious, including in the genital area, and is a disease like any other. Modern medicine offers effective treatments for psoriasis in the genital area. Dermatologists have a wide range of medications and therapies available to help manage symptoms.
Regardless of medical treatment, open communication with a partner—or even with the support of a therapist—can be beneficial. Honest discussions help to break down misplaced feelings of shame, inhibitions, and misunderstandings associated with genital psoriasis.
Psoriasis in the genital area: Tips for intimate hygiene
A well-maintained genital area contributes to comfort and a fulfilling sex life. Daily intimate hygiene helps keep the delicate skin in this region resilient and healthy. With genital psoriasis, it is especially important to clean and care for the skin properly, as the genital skin is prone to dryness and itching—even during symptom-free periods.
The medical Deumavan Protective Ointment is recommended. When applied daily, it protects and nourishes the external genital area. For additional gentle cleansing, Deumavan Washing Lotion is advised.
Avoid scratching psoriasis in the genital area
The itch-relieving Deumavan Protective Ointment helps break the itch-scratch cycle associated with genital psoriasis. Scratching can significantly worsen the skin condition by promoting inflammation and causing tiny microtears, which allow pathogens (such as fungi and bacteria) and allergens to penetrate. Additionally, scratching forcefully removes scales, which can result in pinpoint bleeding in the underlying skin.
The Deumavan Protective Ointment creates a fine protective lipid film that helps cracked and irritated skin to regenerate itself, making it more resistant to inflammation-causing agents and reducing itching.
