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Sex and Intimacy With Psoriasis (How to Be the Best in Bed)

Relationships and intimacy can be challenging for anyone, with or without a skin condition.

However, feeling confident, and more specifically, feeling sexy, can be much more difficult when your skin is red and inflamed.

When it comes to taking off your clothes, it can be a challenge especially if you have a psoriasis outbreak. Shame will take over, and things will not progress.

Intimacy means something different to each person. While some may deal with it greatly, for others can be a big turn off.

But if you are approaching this moment with your partner for the first time, it can be of better valuable to talk about your condition beforehand.

Offer the opportunity to talk about any questions that may arise. And see how it goes from there.

Good news is if someone rejects you because of the way your skin looks, then it’s because that person wasn’t worth it anyway.

Best Sex and Intimacy with Psoriasis

How to Have Better Sex and Intimacy With Psoriasis

There are some things you can do to improve your sex life even if you have psoriasis, start by:

Talking to Your Doctor About Sex

Psoriasis can bring many problems both physical and emotional. It is normal to have difficulty dealing with them when these moments occur.

Almost half of the people who have psoriasis say that their libido has decreased whenever the disease symptoms appear.

It is also know that skin conditions can compromise the mood, and a bad attitude can reduce the general sex drive.

Be sure to talk to your doctor if this is an issue you want to address.

They may recommend you a therapist to talk about any concerns about intimacy or other challenges that may affect your emotional well-being.

If You Have Your Confidence Shaken your therapist can help you cope in the best way possible to resolve this.

Are you unsure about this new relationship? He can talk about the pros and cons of starting a relationship and help you find the best decision.

Think of your appointment as a judgment-free area. If haven’t done a psoriasis follow-up, the first step is to find a dermatologist as soon as possible.

How to Deal With Genital Psoriasis?

There can be ups and downs for people with genital psoriasis. Triggers, such as tension, drugs, or even a minor skin injury, may cause an itchy, painful flare-up.

Itchy outbreaks can also be caused by sexual activity.

To help minimize friction in the genital region, which can irritate the skin and lead to a rash, do the following:

  • It is essential to keep the area clean and sanitized
  • Use silk sheets, as they cause less friction and will reduce irritation
  • If you are on medication, after sex clean the area and put it back on.
  • Lubricated condoms or other lubricants are a good option.
  • If the area is painful or the skin is inflamed, broken, or bleeding, wait until you feel better before trying again.
  • Finally, sexual activity with genital psoriasis is a very personal choice.

Enhancing the Relationship While Having Psoriasis

For some people, skin inflammation not only makes sex uncomfortable but also painful, significantly if the genitals are affected.

Psoriasis can affect the skin around the groin, causing discomfort during intercourse.

One study showed that people whose genitals were affected by psoriasis were more likely to avoid sex, even if they were in long relationships.

Setting the Mood

You will feel sexy and confident by wearing fitting panties or strategically revealing lingerie.

Underwear made of silk, linen, or cotton is a good choice. Synthetic materials, such as nylon or polyester, retain heat and cling to dried, cracked skin. They can also trigger a rash.

The same can be said for your sheets: natural fibers are preferred. The flakes will be easier to conceal if you use white or light-colored bedding.

When you first reveal your skin, having little to no light will make you feel less exposed.

Relax by listening to soothing music and inhaling relaxing scents such as lavender, vanilla, orange, cedar, and incense (from candles or an essential oil diffuser).

And once you’ve started, your focus, as well as your partner’s, will most likely be elsewhere.

Take Care of Your Skin After Sex

Clean your genitals and oily skin gently after sex, then apply your psoriasis medication and moisturizer.

Moisturization is essential for maintaining healthy skin. To prevent discomfort, look for face and body creams free of alcohol, fragrance, and dyes.

Others prefer natural oils such as coconut or avocado. They should be applied after a bath or shower, when the skin is still wet, and whenever the skin feels dry.

Since your doctor might not ask about psoriasis symptoms, particularly in the groin region, don’t be afraid to bring it up.

Initiating a treatment will help clear your skin and make you feel more at ease in your skin.

Experiencing an Active Sex Life

Having a skin disease can take the spontaneity out of sex, but it’s worth persisting – and your skin may thank you later!

Research shows that sexual intercourse can make people more resilient to stress.

Having an active sex life will help you get rid of the constant feeling of being tired.

Does more sex equal less stress?

Living with a skin condition can be full of ups and downs, and adding sex to the equation can turn everything into a real roller coaster.

We all need someone to hold on to on that ride. With confidence, security, and well, everything can flow!

Talk openly with your doctor and partner about ways to make things more comfortable.

Perhaps it’s best to keep certain items of clothing on until you are fully confident.

Apply some protective cream, or choose positions that minimize contact with the inflamed areas.

Cuddling, massage, and foreplay can be a great way to spice things up. Invest some time in experimenting and finding out what works best for the couple.

Should I Give Up Sex and Intimacy if I Have Psoriasis?

Of course not, as a couple it is healthy to engage and interact with sex in your life. Even if it takes time to build up that confident and sex drive, it is always worth it in the end.

Don’t let your inner judgment end your sex life just because. Seek the proper help and have fun with your partner. Live the life you want to have.


Living with psoriasis isn’t easy, and being a partner to someone with the condition can present some challenges too.

But when it comes to being intimate, the key is to remember that these feelings and even insecurities come from a real place.

Acknowledge them, and work through them together — you never know how much stronger your relationship can grow after that. Be happy!