A common problem for males that suffer from psoriasis but one that is less talked about, for obvious reasons, is getting psoriasis on your penis. This is called “glans penis” or medically called the Koebner phenomenon. This basically means traumatizing the skin. This can happen after a surgery, sunburn, cut or rubbing an area on the penis. This would also explain why areas such as the elbows and knees, that get lower impact abuse are the areas that are most effected by psoriasis sufferers.
This is usually caused by sexual intercourse when you have friction and rubbing. They psoriasis then develops on that area of irritation. This is usually on the head of the penis and can get reddish in color, inflamed and scale over in time, not to mention by very itchy and uncomfortable.
You usually are already aware that they have psoriasis before you ever get psoriasis on your penis. And one comforting thing for you and your partner is knowing that psoriasis is not contagious and you will not be able to transfer this skin disorder to each other.
This type of penile psoriasis or genital psoriasis is called inverse psoriasis. Its identifying characteristics are different then what you probably already have, plaque psoriasis. This type is smooth and shiny. They are not little dots or patches but more like sheets that are red and agitated. After awhile and these sheets start to dry out they will become very itchy and irritable.
Psoriasis on the penis can interfere with sexual enjoyment and to make matters even worse using the best treatment for psoriasis like topical corticosteroid creams causes thinning of the skin or atrophy after a prolonged use. This may cause more serious side effects down the road and really disrupt your sex life and that of your partners.
The good news about treating penile psoriasis is that this area does respond very quickly to treatment. We recommend starting with an OTC psoriasis treatment of 1% cortisone and with a prescription from your doctor corticosteroid with iodoquinol creams. If that does not work go to your dermatologist and ask for Protopic and Elidel. These are stronger steroids and you will have to use sparingly and for a shorter period of time.
The best way to prevent this is to wear a condom this will give that extra layer of protection and keep your skin away from the friction. It is also a good idea to use lubrication to also aid in this activity. We know this is not the ideal situation but you are dealing with psoriasis and it really is all about pampering your skin and not causing undo trauma. A little prevention now will keep you from the symptoms, treatment, and no sex later.
If you are one of the very unfortunate ones and your psoriasis covers your entire genital area not just your sexual organ, this condition definitely belongs in the severe condition and when this happens you fist need to see your doctor. He or a she will most likely prescribe systemic treatments and these are pills that you will have to take. The most common ones are Methotrexate or Soriatane. If this does not work you will have to make a decision to try biological drugs.
Something else to consider and one your doctor or dermatologist will probably advice you to do is light therapy or UV-B light treatment. This can be done in combination with some of the other treatments you are already doing. You will need to understand that some of the medications you might be on already can make your skin more susceptible to the rays. This will cause more traumas to the skin if not done properly.
1. Keep your stress levels down
2. Try starting a natural diet. Some people swear by no dairy or even gluten free?
3. Take organic Vitamin D3, Mega 3fish oils, along with a great multivitamin
4. Vaseline Petroleum Jelly after a short warm bath, using
5. Use mild soaps with no perfume or fragrances
1. Do not use any spermicidal creams
2. Wear 100% cotton underwear (loose fitting)
3. Wear loose fitting clothes to allow ventilation
4. Don’t touch the infected area even to scratch
We hope this has been helpful to you. Penis psoriasis is very frustrating and difficult to cope with. We as always recommend that you seek medical attention if you need to and do not let your condition get out of control and make it more difficult to get rid of later on down the road.