Psoriasis is a chronic skin condition that causes red, scaly patches to form in different parts of the body, such as the knees or elbows.

Psoriasis can develop in the following genital areas, too:

Symptoms – such as itching, soreness, dryness, and bleeding – often occur in cycles. They can flare up for a few weeks, then settle down for a while.

Psoriasis can impact sexuality in several ways:

Anxiety and body image concerns. Many people with psoriasis – both men and women – feel self-conscious about their condition and nervous about intimacy. They might worry that a partner won’t find them attractive or desirable. Partners may be anxious as well, especially if they don’t know much about psoriasis. (Note: Psoriasis is not contagious and cannot be spread through sexual activity.)
Pain, bleeding, and discomfort. Psoriasis can be painful, making intimate touching and rubbing quite uncomfortable. Movement during sex can also trigger pain for people with psoriatic arthritis, a related condition.
Reduced desire. People with anxiety and depression related to psoriasis may lose interest in sex. Single people may feel reluctant to date or have intimate relationships.
Erectile dysfunction (ED). ED is a common problem for men with psoriasis (Learn more here).

Medications that treat psoriasis, along with drugs that treat accompanying conditions (e.g., antidepressants) may also have sexual side effects.

Having psoriasis doesn’t mean the end of intimacy. However, consider these steps:

Follow your doctor’s instructions. Managing your psoriasis can boost your body image and self-confidence. Always take your medications as directed, and wash affected areas properly. Don’t hesitate to ask your doctor or pharmacist any questions you may have about medications, over-the-counter skin products, or intimacy during a psoriasis flare.
Talk with your partner. If you feel self-conscious about psoriasis, be open with your partner about it. Chances are, they will reassure you that you are more than your psoriasis and attractive just the way you are. You should also let your partner know if certain sexual activities are uncomfortable. You may need to make some adjustments.

If your partner has questions about psoriasis, answer them honestly. Educate them about the condition and let them know it is not contagious.

Think about therapy. Psoriasis can trigger a lot of emotions, such as anxiety, depression, and low self-esteem. A mental health professional can help you process these emotions. You might also join a support group where you can share your feelings and experiences with other people coping with psoriasis.
Avoid tight clothing. It can worsen symptoms.
Use lubricant with condoms. Some men with genital psoriasis put lubricant under the condom to decrease irritation.

Resources

Centers for Disease Control and Prevention (CDC)

“Psoriasis”

(Page last reviewed: October 25, 2018)

Mayo Clinic

“Psoriasis”

(May 2, 2020)

National Psoriasis Foundation

“How does psoriatic disease affect intimacy?”

(August 5, 2018)