Lesions in psoriasis of the genital organs. Psoriasis on the genitals. How to treat genital psoriasis


The most difficult thing is that the disease is chronic. But do not forget that it is non-infectious. , but remains with a person for life.

Genital psoriasis is one of the most complex forms. It causes not only physical discomfort, but also psychological discomfort.

Psoriasis is a relapsing disease. Most often it appears in the autumn-winter period. At best, small areas are affected, at worst, a large area.

Unlike the usual form, psoriasis on the genitals is characterized by slight peeling or its complete absence.

  1. Heredity.
  2. Psoriasis of another localization.
  3. Any strong shocks, stress, psychological trauma.
  4. Autoimmunological processes (changes in the immune system).
  5. Impaired functioning of the pelvic organs.
  6. Impaired functioning of the nerve endings of the spine.

  • Rash on the labia minora.
  • Sometimes there is a rash on the pubic area.
  • It is necessary to differentiate from vulvitis.
  • Characterized by round rashes with clear boundaries.

  • "Clobetasol", "Carizon", "Daivobet", "Diprosalik". Reduces inflammation with corticosteroids. Ointments based on corticosteroids with antibiotics. They quickly eliminate burning and itching. But such ointments cause thinning of the skin and addiction.
  • "Salicylic ointment." Keratolytics – exfoliate the skin if necessary. Softens the upper flaky layers of plaques. It is prohibited to use for a long time, as it can cause allergies, headaches, and nausea.
  • “Ichthyol ointment”, “Sulfur ointment”, “Dermatol ointment”, “Nafthalan ointment”, “Sulfur-tar ointment”. Anti-inflammatory non-hormonal drugs - heal, disinfect.

  • "Calcipotriol", "Davonex", "Daivobet", "Xamiol". It has an anti-inflammatory effect and also prevents joint psoriasis with the help of vitamin D.
  • "Pimecrolimus", "Tacrolimus". Immunomodulators are anti-inflammatory. They do not cause thinning of the skin, but may cause skin infections. Due to such contraindications, they are used in short courses.
  • We individually select the course of ultraviolet irradiation. On average 3-5 minutes.

Notes:

  1. Obligatory medical supervision.
  2. The course of treatment, on average, takes 3-5 weeks.
  3. Complex treatment is required.

  • . It is necessary to reduce the consumption of fatty, smoked, and sweet foods. It is also necessary to give up bad habits. You need to eat boiled, boiled or stewed food.
  • You need to wash with either baby soap or special

Ointment 1
We will need:

  • St. John's wort flowers 20 g
  • Celandine root 20 g
  • Propolis 20 g
  • Calendula leaves 10 g
  • Vegetable oil 1 tbsp.

Combine and grind this mixture until smooth. Apply to painful areas 2-3 times a day.

Ointment 2
We will need equal amounts of celandine powder and Vaseline. Mix until smooth and apply to affected areas.

Ointment 3
We will need:

  • Egg 2 pcs.
  • Sunflower oil 1 tbsp.
  • Vinegar 40 g

Whisk. Add 40 g of vinegar to the resulting mass. Mix the mixture until smooth and apply to the affected areas once a day.

Psoriasis on the genital organs is a systemic disease, one of the localizations of atypical psoriasis. Characterized by a complex of skin symptoms such as rashes, peeling of the skin, redness, etc.

The genital type of the disease is the most severe form of atypical psoriasis.

This disease brings severe physical and psychological discomfort to a person, is prone to chronicity, relapses, and is difficult to treat due to its location. Both men and women are equally likely to get sick. The peak of the disease occurs in the cold season.

Lack of timely treatment leads to the spread of lesions to other parts of the body (thighs, buttocks, abdomen) and other serious consequences. And based on the systemic nature of the disease, many organs, as well as joints, are involved in the pathological process.

Causes

This disease currently has no specific causes. But doctors identify factors that may contribute to development. Among them:

  • psychological problems. Often the disease develops against the background of severe and prolonged stress or emotional shock;
  • heredity. There is a predisposition to the pathology in people whose relatives had it. But the influence of genetics on the localization of the lesion was not noticed;
  • diseases of the immune system, autoimmune diseases;
  • liver diseases;
  • diabetes;
  • excess weight;
  • chronic diseases, inflammation of the pelvic organs;
  • psoriasis of another localization;
  • bad habits.

Some features of the causes of genital disease in women are noted. Thus, the disease can manifest itself during a period of serious hormonal changes or acute hormonal imbalance. Thus, the risk of getting the disease in women is higher during puberty, pregnancy or menopause.

Men more often get sick, in addition to general causes, as a result of hypothermia or episodes of trauma to the genital organs. Hormonal imbalances can also trigger psoriasis, but this reason is less often the main reason.

It should be noted that genital psoriasis is not a sexually transmitted disease and is not sexually transmitted.

Symptoms and features

Despite the differences in reproductive systems, the symptoms of the disease are generally similar. It manifests itself as skin rashes in the form of papules, redness, peeling, itching and burning. The lesion is focal in nature and takes on the appearance of plaques.

But the nature of the disease has its own characteristics.

The localization of the disease in women is the labia, vagina, pubis, area between the buttocks and under the mammary glands. Sometimes in the armpit area. The onset of the disease often coincides with moments of hormonal changes and at the initial stage the manifestations are not so clearly expressed. But gradually the clinical picture becomes clearer. Round papules and pink convex plaques with clear boundaries form on the affected areas. They are covered with silvery scales. The disease is chronic and undulating in nature. And when a secondary infection occurs, signs of inflammation are observed, such as fever, weakness, etc.

In men, the pathology is localized mainly on the head of the penis, the foreskin, and rashes are observed on the pubis and groin. Psoriasis on the genital organs in men occupies the glans penis, foreskin; characteristic rashes are often detected in the groin and pubic area. The symptoms correspond to the general symptoms. Itching, redness, burning, and plaque formation are observed. Papules usually appear on the head of the penis. At the same time, it turns very red, severe itching is felt, and the plaques may bleed. When moving to the foreskin, the symptoms worsen, and pain and severe burning may occur.

Diagnostics

A dermatologist is involved in diagnosis and treatment. You should contact a specialist after detecting the first symptoms. But in most cases, diagnosis is complicated by the fact that patients put off going to the doctor for a long time. It is also necessary to carry out differential diagnosis, since some clinical symptoms are similar to other diseases (systemic lupus erythematosus, scabies, allergies, eczema).

To make a diagnosis, the following set of measures is carried out:

  • history taking and examination. At this stage, the circumstances under which the symptoms appeared, their duration and course are clarified, and heredity is studied. The doctor also conducts a visual examination of not only the affected area, but also all skin in order to rule out other forms of skin diseases;
  • general blood analysis;
  • general urine analysis;
  • tests for fungal diseases;
  • skin biopsy from the affected area.

In addition to the dermatologist, a consultation with a gynecologist and urologist is prescribed in accordance with the gender of the patient. This is necessary to exclude other diseases.

Also, based on the systemic nature of psoriasis, parallel diagnostics are carried out for diseases such as arterial hypertension, diabetes, vascular diseases and vascular disorders.

After establishing an accurate diagnosis, the doctor determines its type, stage and intensity.

Features of treatment

The disease has practically no peculiarities in the principles of treatment. Its therapy is almost identical to that of any other form of psoriasis. The main feature is its delicacy and place of manifestation. Since the genital area has high humidity and temperature, as well as natural folds, which simplify the development of the disease.

For this reason, treatment is not left to chance and must be carried out under the supervision of a doctor. The approach to it is complex and can take a very long time, up to a year. In addition, there is no one treatment plan for everyone; a specialist draws up an individual treatment plan for each patient.

Treatment of this form of psoriasis is based on the following methods:

  • local treatment (ointments and creams);
  • oral medications (including antibiotics, anti-inflammatory and antibacterial);
  • diet;
  • physiotherapy;
  • complex of vitamins;
  • injections in severe cases.

In some cases, a visit to a psychologist or sex therapist is prescribed, since the chronic course of the disease, as well as its type, can provoke fear or even disgust in the patient before physical intimacy.

Treatment

Medicines

The prescription of various medications depends on the severity of the disease. So, with a mild form, the basis of treatment is external symptomatic treatment. This includes ointments and creams.

Main groups of drugs for external use:

  • antibacterial;
  • antifungal;
  • anti-inflammatory;
  • moisturizing;
  • healing;
  • calming;
  • decongestants.

Ointments with the addition of tar, sulfur or vitamin D, with glucocorticosteroids, and hormonal ones are often prescribed.

With a wide variety, they are never used simultaneously, but in alternation, since all remedies have different mechanisms of action, and therefore they are suitable for different periods of the disease. Thus, hormonal ointments are prescribed for severe symptoms for a short period of time, moisturizing ointments are prescribed for the speedy healing of cracks and moisturizing the skin, and healing ones are used with them.

Examples of topical medications: Cortisone, Salicylic ointment. These products are relatively cheap, but they are effective and quick to act.

In addition to local external treatment, oral medications are added if necessary. Main groups:

  • immunosuppressants;
  • antifungal;
  • antibiotics;
  • vitamins;
  • sedatives;
  • painkillers;
  • retinoids;
  • hormonal;
  • normalizing liver function.

Examples of oral medications: Suprastin, Cetrin. Both drugs are accessible and inexpensive. They have a quick effect, effectively relieving unwanted symptoms. It is important to remember that Suprastin has contraindications and side effects, but doctors choose it to provide quick help.

ethnoscience

Although drug treatment is the main one, experts themselves do not deny the benefits of some folk remedies. It is only important to note that in no case should they replace the main one, ignoring the doctor’s recommendations.

As an auxiliary treatment the following is used:

  1. Products based on golden mustache. This could be an alcohol tincture. But it is not applicable for acute forms, as it takes about 2 weeks to prepare. Use golden mustache juice for external use or ointments based on it. Has anti-inflammatory, anti-edematous effect.
  2. Propolis. Propolis-based tinctures have bactericidal, anti-inflammatory, analgesic and other effects. Use a tincture with alcohol or water.
  3. Celandine. Tinctures are prepared with celandine and used both externally and internally. This remedy also has anti-inflammatory and bactericidal properties.
  4. Oats. Oat tinctures have a calming, antipruritic effect; they soften the skin, preventing the further spread of the disease.
  5. Herbal infusions. Decoctions based on chamomile, celandine, nettle and other herbs are used in the form of medicinal baths to relieve symptoms.

Procedures

The treatment package includes physiotherapeutic procedures. They help reduce the manifestation of symptoms, prevent the formation of complications, and improve metabolic processes in the body. Physiotherapy is indicated not only during an exacerbation, but also during remission, to prevent the return of the disease.

For genital psoriasis, the following procedures are used:

  • selective phototherapy;
  • cryotherapy;
  • electrophoresis;
  • treatment with magnets;
  • electrosleep;
  • ultraviolet irradiation;
  • ultrasound treatment;
  • X-ray therapy;
  • Spa treatment.

The duration of therapy depends on the dynamics of treatment. The doctor evaluates it, and he also sets the boundaries of treatment.

Nutrition

Proper nutrition has a positive effect not only during treatment, enhancing the effect of medications, but also during remission, reducing the risk of negative symptoms.

Desirable products for consumption include:

  • all types of cereals;
  • fruits and vegetables;
  • dairy products;
  • boiled, baked or stewed dishes;

Doctors include the following on the list of foods that should be excluded from the daily diet:

  • eggs;
  • oranges and other citrus fruits;
  • beans and products with them;
  • sweets;
  • flour products;
  • alcohol;
  • coffee;
  • carbonated sweet drinks.

Prevention

Prevention of the disease is primarily aimed at adjusting lifestyle. So, first and foremost, all doctors advise following a diet, monitoring what and in what quantities you eat. Alcohol and other bad habits should be avoided.

Healthy, full sleep and stress reduction have a beneficial effect on the nervous system. Shave the genital area carefully to avoid traumatizing the skin. Take vitamin supplements and vitamin-rich foods.

Preventive measures may seem trivial, but they can prevent the development of psoriasis.

Complications

Untreated genital psoriasis has dangerous complications. In addition to the fact that it tends to spread, affecting other parts of the body, it can negatively affect the condition of joints and internal organs.

The most dangerous complications of psoriasis are psoriatic erythroderma, arthritis, generalized pustular psoriasis, diabetes, hypothyroidism, muscular dystrophy, anemia, secondary infections, and heart damage.

Skin changes in psoriasis can be localized on any part of the body. Psoriatic lesions on the limbs, torso, and head cause a lot of suffering, but psoriasis in the groin is even more unpleasant; this form of the disease can affect both men and women. Damage to the perineum leads to constant discomfort and negatively affects personal life. Psoriasis in intimate areas should be treated as early as possible, but always under the supervision of a dermatologist, since not all antipsoriatic drugs can be used to treat sensitive skin.

Causes of psoriatic lesions in the groin

The reasons for the development of any form of psoriasis are almost identical. The disease may be a consequence of:

  • Genetic predisposition;
  • Reduced functioning of the immune system;
  • Hormone imbalance;
  • Severe chronic diseases;
  • Prolonged stress.

Naturally, the likelihood of a disease occurring increases many times over if the human body is affected by several factors predisposing to pathology.

The appearance of psoriasis in intimate places is also explained by the characteristics of this area of ​​the body. Predisposes to the appearance of psoriatic lesions in the perineum:

  • Increased skin moisture in this area;
  • Mechanical friction of clothing, especially from elastic bands and seams;
  • Lack of sufficient air access due to wearing synthetic underwear;
  • Insufficient hygiene of the intimate area;
  • Microtraumas that appear after hair removal;
  • Obesity. Psoriasis in the groin most often appears in obese people in the area of ​​fat folds in the perineum.

Psoriatic lesions in intimate areas are most often combined with rashes on other parts of the body. Skin changes can spread to the perineal area from the upper thighs, buttocks, and lower abdomen.

Inguinal localization of psoriasis leads not only to physical discomfort, but also becomes a cause of psychological problems. Psoriatic lesions in this area tend to spread quickly, and periods of remission can quickly be replaced by another exacerbation of symptoms. The thing is that in this place of the body there are all the suitable conditions for the formation of rashes - thin and sensitive skin, high humidity and heat. Therefore, if even minor signs of dermatitis appear in the intimate area, you should consult a doctor as soon as possible - timely treatment begins to prevent the progression of changes.

Symptoms of inguinal psoriasis

The disease begins with the formation of small raised spots above the skin; when localized in the groin, they have the following characteristics:

  1. Pinkish, less often red or bluish tint;
  2. Diameter from 3 to 20-25 mm;
  3. Red rim along the border of a separate lesion;
  4. Grayish coating on the surface;
  5. Soreness and slight swelling in the area of ​​the rash.

Foci of psoriasis on the pubis and perineum most often either do not itch at all, or the itching is not too intense or periodic. Peeling is also not typical for rashes in these places, which is associated with the constant humidity of the intimate area. As the disease progresses, individual lesions merge with each other, resulting in the appearance of a large spot.

Psoriasis in the perineum occurs equally often in both men and women, and generally the first symptoms of the pathology appear after 25 years.

Features of psoriasis of the groin area in men

Psoriasis in the groin in men can include:

  1. glans penis;
  2. Testicles;
  3. Pubic area;
  4. Intergluteal fold and area around the anus.

Inguinal psoriasis can be accompanied by the appearance of reddish impurities in the semen; often with this form of the disease, the quality of sexual life also deteriorates. When lesions are located on the penis, there is a risk of inflammation of the foreskin of the penis - balanoposthitis.

Features of intimate psoriasis in women

Psoriasis in the groin in women covers:

  • Labia minora and labia majora;
  • Skin around the anus and buttocks;
  • Pubis and bikini line area;
  • Inner walls of the vagina.

The intimate form of psoriasis also includes psoriatic lesions located under the breasts and in the armpits. Lack of timely treatment for lesions of the labia and vagina becomes the cause of vaginitis.

Exacerbation of inguinal psoriasis in women most often occurs during periods of hormonal imbalance. That is, during pregnancy, during the postpartum period, during menopause and with some gynecological diseases.

If changes appear in the perineum, you should consult a dermatologist. Psoriasis in the intimate area can occur with atypical symptoms, so the disease can be confused with other dermatoses. A thorough examination helps to make a correct diagnosis:

  • Examination of the patient’s body – inguinal psoriasis often accompanies psoriatic plaques on other parts of the body;
  • Questioning - the doctor must determine when the first symptoms appeared, what, in the patient’s opinion, provoked them, whether plaques appeared in the past;
  • Take a scraping from the stains and conduct a microscopic examination of it;
  • Dermoscopy;
  • Blood tests.

Additionally, a consultation with a urologist may be required for men, and an examination by a gynecologist for women.

The task is to correctly determine the cause of dermatosis and, when psoriasis is diagnosed, to prescribe specific therapy.

Principles of treatment

Your doctor should tell you how to treat psoriasis in the groin. Not all external preparations are suitable for treating skin in the intimate area; this must be taken into account when choosing them. Treatment should be comprehensive, including external medications, physiotherapy, and folk remedies.

Drug therapy

Treatment always begins with the use of ointments to treat the plaques. At the early stage of the disease, non-hormonal agents, such as:

  1. Salicylic ointment;
  2. Tar-based preparations;
  3. Ointments with zinc.

Under the influence of the above mentioned remedies, inflammation is reduced, itching, flaking and pain are reduced, and the spots are prevented from increasing in size.

If non-hormonal therapy does not lead to the desired results or the disease immediately manifests itself in a severe form, then the plaques should be treated with hormone-based ointments, such as:

  1. Elokom;
  2. Daivonex;

Ointments with glucocorticosteroids have a rapid therapeutic effect. Under their influence, inflammation decreases in a few days, swelling and itching disappear, and all dead skin is removed. However, only a doctor should prescribe hormonal drugs, as they can lead to extremely undesirable side reactions if used incorrectly.

The basic rule for using ointments with hormones is to comply with the duration of the course and the frequency of application of the drug. It is undesirable to use these drugs if psoriasis in the groin manifests itself easily, since they can become addictive to the body and further treatment will be successful only with the use of stronger, but at the same time toxic, medications.

In addition to external remedies for psoriasis, the use of vitamin complexes, in some cases, immunomodulators and agents that improve metabolic processes is indicated. The complete regimen of drug therapy also depends on whether the patient has chronic diseases - if they develop, appropriate therapy is necessary.

For psoriasis in the groin, antimycotic drugs are often prescribed; their use prevents the development of fungus and prevents the addition of a secondary infection.

Traditional methods of treatment

You can supplement the main therapy with all kinds of herbal remedies; they are used both internally and externally for psoriasis. Traditional therapy enhances the effect, improves local and general immunity, and promotes skin regeneration. The following methods of treating psoriasis in the groin show good effectiveness:

  • Oak bark decoction. One hundred grams of crushed oak bark should be poured with a liter of hot water, heated over low heat for 20 minutes, cooled and strained. The prepared decoction is used to wipe psoriatic plaques 2-3 times a day, it dries the skin well, removes inflammation and itching;
  • Aloe pulp. Peel the fleshy aloe leaf and apply it to the stain area, securing it on top with a band-aid. The compress can be left overnight. If psoriasis covers the areas near the anus or between the buttocks, then you need to prepare a paste from the pulp of the agave, apply it to a tampon and apply it to the plaque also overnight;
  • Treating leather with oil – linseed, olive, almond. Oil is especially useful for lubricating cracked skin. Before processing, the oil is brought to a warm state in a water bath;
  • Tincture of elecampane. You will need 250 grams of elecampane rhizomes, they need to be washed, crushed and filled with vodka in a volume of 0.5 liters. The product should infuse for about 2 weeks, after which it is used to wipe psoriatic lesions;
  • Baths with medicinal herbs. To prepare an infusion for the bath, you need to take 2-3 tablespoons of herbs (chamomile flowers, sage, calendula inflorescences) and brew with a liter of water. After 40-50 minutes, the infusion is filtered and poured into a bath with 5-7 liters of warm water. You need to sit in such a bath for 20-30 minutes; it effectively removes irritation and itching from the genitals with psoriasis in the groin, and promotes skin healing.

To achieve visible results, folk remedies should be used for a long time, sometimes for months. Short breaks should be taken between courses of treatment. External treatment can be supplemented with internal treatment. For psoriasis, infusions and decoctions of soothing herbs, teas that normalize metabolic processes and enhance the functioning of the immune system are useful.

Extra in the groin

If psoriasis occurs in the perineum, several recommendations should be followed:

  1. Wash yourself at least twice a day, and each time after bowel movements. In this case, you need to use hypoallergenic soap, for example, fragrance-free baby soap. After washing, dry the genitals with a soft towel;
  2. Try not to overheat the perineal area;
  3. Wear underwear only from natural fabrics;
  4. To wash, you can use a decoction of chamomile, nettle, mint leaves; they relieve itching and irritation;
  5. You definitely need to reconsider your diet. It is necessary to exclude allergenic foods, smoked foods, fatty foods, sweets, soda, and alcohol from the diet;
  6. Try not to scratch psoriatic lesions. If severe itching occurs, you can take antihistamines in the acute phase of the disease;
  7. It is advisable for obese patients to lose weight, since psoriasis in the groin can be localized specifically in the area of ​​fat folds.

The treatment prescribed by the doctor must be completed completely. A decrease in the severity of plaques in the intimate area does not indicate that the progression of the disease has been stopped. If therapy is interrupted at this stage, then the symptoms are more likely to return again and most likely they will be more pronounced.

Psoriasis in the groin causes a lot of discomfort. Unfortunately, it is impossible to completely defeat the disease, since it is a chronic pathology. But with timely therapy and compliance with all stages of treatment, it is possible to achieve periods of remission that will last up to several years.

Psoriatic rash in the genital area can appear in any person, regardless of gender. The disease is usually detected between the ages of 15 and 25 years, using diagnostic measures. To eliminate it safely, you need to familiarize yourself with all the nuances.

Reasons for appearance

Scientists have not yet identified clear causes for the development of psoriasis in the groin area. Only predisposing circumstances are identified.

  1. Psychosomatic factor. This is one of the root causes of the development of a rash and a malfunction in the body. Experienced emotional stress can become a catalyst for the formation of psoriatic symptoms.
  2. Genetic predisposition. If a person has relatives in their family who suffer from psoriasis, there is a high probability that it will be passed on.
  3. Changes and disruptions in protective functions, autoimmune diseases.
  4. The presence of psoriatic rashes on other parts of the body.
  5. Congestion, inflammatory processes in the pelvis.
  6. Alcohol abuse.
  7. Liver dysfunction, diabetes and obesity.

A pathological rash on the genitals is not transmitted through sexual contact or airborne transmission. This is a chronic course with a non-infectious etiology.

Symptoms

The clinical signs of psoriatic rashes are similar. They differ in location for men and women.

In men Among women
There are reddish spots, slightly raised above the skin, covered with white-silver scales on the penis, in the area of ​​the glans and pubis. Chaotically pinkish papules with white-silver scales are localized on the labia, vulva between the buttocks, under the breasts, in the axillary area.
The first signs are observed during puberty and accompany a person throughout his life in the absence of therapy. The first symptoms are observed during puberty and are reminiscent of pregnancy, lactation, and menopause.
The clinical picture is similar to balanoposthitis. The symptoms are similar to vulvitis, but the exact verdict is given by an experienced dermatologist.

Stages of the disease

There are 3 stages of psoriasis development.

  1. Progressive. The phase is characterized by constant manifestations of new plaques, they increase in size.
  2. Stationary. The stage is determined by a stable course, the number of affected parts does not increase.
  3. Regressive. The phase is complemented by a decrease in the severity of the clinical picture.

In men, psoriasis on the head and in women in the genital area occurs cyclically, with exacerbation occurring during the cold season. The disease can recede for a long time. In a child, psoriatic rashes in the groin area can disappear on their own as they grow older.

Diagnostics

According to statistics, patients go to the doctor late. Sometimes whitish scales are not visible on the parts involved in the pathological process, and the symptoms are similar to other diseases.

If psoriasis is suspected, in order to establish a clear diagnosis, the following manipulations are performed:

  • investigate the presence of a genetic predisposition;
  • blood is donated for laboratory testing;
  • A dermoscopic analysis or biopsy of the affected parts of the skin is performed.

According to the results, treatment is prescribed.

Treatment options

The doctor prescribes a therapeutic regimen, depending on the severity of the patient’s condition. Psoriasis can be cured if you strictly follow all the doctor’s recommendations. They resort to taking medications, unconventional methods and a special diet. Upon completion of the therapeutic course, remission occurs for 2-3 months or 3 years.

Drug therapy

Medicines of different groups are prescribed in a course determined individually.

  1. Non-hormonal agents for external use. Salicylic ointment, Zinocap, and vitamin D cream are widely used. They have a powerful anti-inflammatory effect.
  2. If non-hormonal drugs have no effect, they resort to antibiotics and corticosteroids. Sometimes antimycotic drugs are prescribed - Vasilon. When an atypical form of psoriasis is diagnosed, accompanied by serious tissue damage near the skin folds, steroids and antimycotic drugs cannot be avoided. Medicines such as Afloderm, Elokom, Dermovate are indicated. The last medication has the most powerful effect.
  3. Among the drugs for internal use, immunomodulators, retinoids and steroids are used - Methotrexate, Cyclosporine.
  4. In case of complicated development of the disease, Infliximab is used.
  5. For psycho-emotional problems, Imizin, Pyrazidol, Amitriptyline are indicated. They help normalize the mental state and calm the irritated nervous system. Such drugs are most often prescribed to people whose genital psoriasis negatively affects their sleep and ability to work.

The result of treatment with conservative methods is noted after 1-2 weeks from the start of treatment.

Traditional methods

  1. A decoction of celandine and bay leaf. It is worth choosing one of the components and preparing a decoction from it. Cook over low heat for 15-20 minutes, strain, leave for 2 hours.
  2. Alcohol tincture on a golden mustache. It cannot be used for acute forms, since preparation requires 14 days. Golden mustache juice can be used for external use or taken as an ointment based on it. The product has an anti-inflammatory, anti-edematous effect.
  3. Sea salt based wipe. For 1 liter of water, take 1-2 tablespoons of salt and stir. Wipe the affected areas 4-5 times a day.

Thanks to these methods, the patient will feel relief after the first dose. The intensity of itching and the feeling of tight skin are reduced.

Physiotherapy

To supplement the main treatment regimen, they resort to physiotherapeutic techniques. They stimulate a reduction in symptoms, prevent complications, and improve metabolic processes. Physiotherapy is used not only during exacerbation, but also during remission to avoid the return of the disease.

The following procedures are prescribed:

  • selective phototherapy;
  • cryotherapy;
  • electrophoresis;
  • magnetic therapy;
  • electrosleep;
  • ultraviolet irradiation;
  • ultrasound;
  • X-ray therapy.

Complications and consequences

A late visit to the doctor with the problem of psoriatic rashes on the genitals is fraught with dangerous consequences. In the initial phase, it is still possible to achieve remission thanks to conservative and unconventional methods. Later, more serious therapy is used.

  1. There is a risk of bacterial or fungal infection, suppuration, swelling, erythema.
  2. Psoriatic rashes interfere with regular sexual life and worsen its quality. Patients often suffer from neuropsychic dysfunctions.
  3. In men, psoriasis can be complicated by the inflammatory process of the inner layer of the foreskin (balanposthitis), in women – by vaginitis.

The most common complications are exacerbations of psoriasis symptoms. During the examination, psoriatic erythroderma and pustular rashes are revealed. In the worst case, joint damage is observed.

Prevention

To avoid the pathological process, you need to adhere to the right lifestyle.

  1. Avoid smoking and drinking alcohol.
  2. Eat a balanced diet, avoid fatty, spicy, smoked foods and fast food products. You should not overeat, there should be 4-5 meals, eat in small portions.
  3. When choosing clothes, pay attention to things made from natural materials. Synthetics irritate the skin and should be avoided. There is also no need to buy tight clothes.
  4. Have a full rest. You need to sleep 7-8 hours, avoid physical fatigue and nervous stress.
  5. Maintain hygiene. Wash your genitals every day in the morning and before going to bed. Remove hair carefully, avoid cuts.
  6. Strengthen the body's protective functions with the help of vitamin complexes. It is especially important to adhere to this rule during cold seasons and during epidemics.
  7. Visit a doctor 1-2 times a year for a preventive examination.

It is important to deal with any skin diseases in a timely manner. They provoke the development of psoriasis.

Psoriasis on the genitals occurs for a variety of reasons. The development of the disease is facilitated by factors such as chronic diseases of the pelvic organs, liver pathologies, diabetes, and autoimmune diseases.

The main causes of genital psoriasis in the stronger sex are hypothermia and injury. In women, the disease often develops during pregnancy. Genital psoriasis is not one of the diseases that is transmitted through unprotected sexual intercourse.

With psoriasis of the genital organs in women, the labia and pubis are usually affected. Small papules and convex pink plaques with clear outlines form on the body. If a secondary infection occurs, unfavorable symptoms such as weakness and fever may occur.

In men, papules are concentrated mainly on the head of the penis and foreskin. With genital psoriasis in men, the following symptoms often occur:

  1. Bleeding of psoriatic plaques.

Symptoms of the disease usually intensify when the papules spread to the foreskin. This may cause pain and severe burning.

You can learn about the features of genital psoriasis from the corresponding video:

General principles of psoriasis treatment

The specific treatment regimen for the disease is determined depending on the individual characteristics of the patient. Complex therapy of the disease involves:

  • The use of special creams and ointments;
  • Internal administration of various medications;
  • Diet;
  • Application of physiotherapeutic techniques;
  • Taking vitamin-mineral complexes.

If the disease is severe, injections are indicated. If problems arise in the intimate sphere or irritability, the patient requires consultation with specialized specialists (neurologist, sex therapist).

Use of medications

For psoriasis of the genital organs, products intended for external use are actively used:

  1. Salicylic ointment;
  2. Ointment containing vitamin D.

In the treatment of genital psoriasis, ointments made on the basis of corticosteroids or antibiotics are also used. When a bacterial infection occurs, the use of antimycotic agents is indicated.

There are also effective internal medications used for genital psoriasis:

  • "Methotrexate";
  • Cyclosporine."

In some situations, medications belonging to the group of antidepressants are used:

  1. "Pyrazidol";
  2. "Amitriptyline."

Antidepressants improve the condition of the nervous system and normalize sleep. Such drugs help get rid of irritability, which often occurs with psoriasis.

Attendance at physiotherapy treatments

Physiotherapy prevents the occurrence of complications of psoriasis and reduces the severity of the main symptoms of the disease. Appropriate procedures help normalize disrupted metabolic processes.

If you have psoriasis in the genital area, the following are effective:

  • Selective phototherapy;
  • Cryotherapy;
  • Conducting ultraviolet irradiation sessions.

In the complex treatment of genital psoriasis, effective folk methods are used:


If you have genital psoriasis in men, you can use a decoction made from bay leaves. To do this, add 10 laurel leaves to 200 ml of water. The drink is prepared over low heat for 15 minutes. After this, the broth should be cooled. Cotton swabs are moistened in it and applied to the affected areas of the male genital organ.

Diet for genital psoriasis

Proper nutrition for genital psoriasis helps enhance the effect of medications. The patient is recommended to give preference to the following foods:

  • Dishes enriched with cereals;
  • Vegetables;
  • Fresh fruit;
  • Fermented milk drinks.

If a patient has genital psoriasis, it is recommended to cook food in a double boiler or bake food in the oven. The following foods should be excluded from the daily menu:

  1. Eggs;
  2. Alcohol;
  3. Chocolate products;
  4. Sweet sparkling water;
  5. Butter pastries;
  6. Dishes containing citrus fruits.

In the absence of proper treatment, genital psoriasis spreads to other organs. The disease can cause complications such as arthritis, psoriatic erythroderma, and muscle dystrophy.

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