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Genital Psoriasis - Causes and Treatment

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Genital Psoriasis is a special branch of Inverse Psoriasis or Flexural Psoriasis. Genital Psoriasis is also called Groin Psoriasis. Genital Psoriasis due to areas affected generally becomes the cause of stress and depression among the patients. It is important that it should be dealt carefully.
Before we go into further details about its causes and treatment available, lets understand Inverse Psoriasis.

What is Inverse Psoriasis?

Inverse Psoriasis also known as Flexural Psoriasis. It develops in the armpits, under the breast, groin, between the buttocks, around the genital and in other skin folds. It appears as red shiny skin without the usual silver scaling and it may feel tight and sore especially at the edges where it meets normal skin.

Genital Psoriasis is particularly subject to irritation from rubbing and sweating because of its location and it is more common and troublesome in overweight people.

It can cause discomfort and difficulties with sexual relations.

In a recent study, 60% of the participants reported that there sex life worsened after the symptoms of genital psoriasis. Therefore genital Psoriasis affects the quality of life the most.

Affected Areas

There are 6 regions which are affected with genital psoriasis as shown in the picture below:

Genital Psoriasis Affected Areas
1. Pubis
2. Upper thighs next to groin
3. Creases between the thigh and the groin
4. Genitals (the vulva for women; the penis and scrotum for men) 
5. Skin between anus and vulva or anus and scrotum, and the skin around the anus
6. Crease between the buttocks.

Causes and Triggers

As we explained in detail in our article Psoriasis - Causes and Triggers and PsA - Causes and Treatment the route cause of psoriasis is toxins. These toxins are generated as usual in intestine and get disposed off through the normal channels of our body. When these channels gets blocked or toxins generation goes excessive then these toxins starts accumulating and expanding to different parts of body.

They get localized in and around genital and groin area.

Stress acts as a trigger and they appear as psoriasis in these effected areas.

Generally genital psoriasis appears after psoriasis has affected other areas of the body. Some times it can appear in genital parts only.

In case of genital Psoriasis there is one more factor which needs to be kept in mind all the time.

Triggers like stress are the starters as in the case of any other form of psoriasis, but in case of genital psoriasis triggers supports play a very important role in keeping the effected skin aggravated or flared – up.

The following are common trigger supports for genital psoriasis.

1. Tight Clothes which rub the skin

2. Contraceptives – sheaths

3. Caps and spermicides

4. Sanitary towels and tampons

5. Harsh toilet paper

6. Thrush or sexual intercourse

Emotional Factor

As we said earlier, Stress and stress like conditions are the main triggers for genital psoriasis. Therefore to keep the outbreak or flare up of genital psoriasis down, it is important to keep oneself stress free.

Having genital psoriasis itself creates the condition of depression and embarrassment that it helps aggravating its condition itself. A kind of self fulfilling prophesies.
Controlling the impact of emotional factor on body becomes the key in treating genital psoriasis as it becomes very difficult for patients to keep oneself stress free.

Having genital psoriasis itself creates the condition of depression and  embarrassment that it helps aggravating its condition itself. A kind of self fulfilling prophesies.


In case of Genital Psoriasis, silver scaling is not visible which is the case for plaque. It can easily be mistaken with look alike. Therefore it is very important to have correct diagnosis and separate from other similar conditions of groin area.

Undiagnosed genital psoriasis in women may be mistaken for a yeast infection. A culture may be needed to rule out the yeast and other infections. It is equally important to rule out fungal infection before proceeding to treat psoriasis.

Redness and irritation in genital can also be there due to contact dermatitis. A biopsy may be required to correctly diagnose and separate psoriasis from other conditions.

Available Treatments

As is the case of other forms of Psoriasis, there is no permanent treatment available for genital psoriasis in modern medical science. All the treatments prescribed by dermatologists simply treat symptoms of genital psoriasis and reduce the redness, itching and irritation.

Since steroids have the potential to thin the skin, only low strength steroids or non steroidal lotions such as Protopic or Elidel are prescribed.

Vitamin D based compounds such as calcipotriene (Dovonex) and retinoids such as Tarazotene are generally avoided for genital psoriasis as they can cause irritation.

Ultravoilet light treatments are recommended at low intensity as genital parts are very sensitive and strong UV treatments or excessive UV treatments can lead to skin cancer at genital areas.

Male patients in particular, if going for UV treatments must protect penis and scrotum.

Using cotton undergarments, soft towels and use of condoms and lubricants during intercourse are some of the recommendations which can reduce trigger supports and can keep genital psoriasis and irritation calm.

Psorcure Treatment Plan for Genital Psoriasis

As we said before psoriasis being on genital parts needs extra care.

We at clinic psoriasis developed special treatment plan to get permanent results and get life long remission from genital psoriasis.

Psorcure Treatment Plan for Genital Psoriasis targets to stop the flow of toxins at intestine level, helps production of normal cells at genital and groin skin, blocks the stress effect on body, work as immunomodulator, reduce the inflammation and irritations in genital and groin area and heal the psoriasis condition.

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Do You Know?

Psorcure Treatment Plan means 95%+ PASI reduction and long term remission. It is very much safe.

Doctor Profile

Dr Shailender Dhawan has specialization in Psoriasis, Scalp Psoriasis, Guttate, Pustular, Plaque, Psoriatic arthritis, and other diseases where hyperkeratosis takes place

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