Help with genital psoriasis on men please

[Armadi]

Hi all,
I am new in the forum.
I have been having psoriasis for more than a year and a half now in my private areas (penis and scrotum).
I am mainly treating myself with Trimovate cream which I think is a corticoid (and I think that medicine has the danger of thinning the skin) but is the one that help me the most of all treatments.
I am also sometimes using Protopic cream 0.1% or Advantan cream and when I manage to control it I maintain with Dexeryl.
Last week I had the psoriasis coming bad again and I spend a week using twice a day Trimovate cream until I got a bit better.
After using the Trimovate for a week I had sexual relations with my girlfriend. The penis was extremely red and too sensitive after the sexual relations. The next day the penis was still red and still sensitive with a tiny superficial wound in it. I fear that the skin got thinner due to the use of the cream. 
How could I find out if the reason the skin in that area being so sensitive? how could I find out if is due to the psoriasis or to the skin becoming thinner there?
If part of the cause of this is the thinning of the skin: are they any solutions for this? or would I have a thin skin forever now and would have this problem now for good?.
Anyone with an experience similar to this?.
Any doctors/hospitals out there that are considered the best on this kind of psoriasis?.
I am only 40. Any hopes or ways to improve or recover from this situation?.

Any help or support would be greatly appreciated.

[jiml]

Hi again Armadi
Thanks for your frank description of your problem I have answered your other post and most members seem to be offline at the moment

Trimovate is a steroid cream and I would be very careful using it on your genitals. Yes steroid creams will thin your skin, the skin on your penis and scrotum is delicate and should be treated carefully

My best advice is talk to your doctor and get referred to a dermatologist to try to get a treatment that is for psoriasis, most hospitals have dermatology departments and you can't shock them they have seen it all before

Do you have psoriasis anywhere else!
I wish you luck trying to find an answer and hope someone here may have some ideas for you

Jim

[Fred]

First off you ask if there are doctors/hospitals out there that are considered the best on this kind of psoriasis and in your profile you have Inverse psoriasis. So I'm taking a guess that you have not had a proper diagnoses, all dermatology departments in the UK are capable of dealing with genital psoriasis and you should be seeing a dermatologist.

The genital area is very sensitive and you want to make sure you are getting the right treatment, by messing about with various creams yourself you could make things worse. If you are worried about seeing a dermatologist and discussing your penis and scrotum, don't be because like Jim said they have seen it all before and are very aware on how some people may feel uncomfortable discussing it.

Sexual intercourse or masturbation can cause a lot of damage to the penis when there is psoriasis present, and it can take a long time to heal. That doesn't mean you have to avoid it but it is best to get the psoriasis down or use a good lubricant gel.  

Some tips:

Wear 100% cotton underwear and as loose as possible around the genital area. (Boxer are better than Y fronts).

Wear loose fitting trousers or jeans and try to avoid sweating around the genital area.

Keep the penis and scrotum well moisturised twice a day with a good quality Coconut Oil. Read more here: Coconut Oil (*Important: Coconut Oil could possibly damage latex condoms.)  

I hope that helps a bit, but the best advise I could give would be to insist that your GP gives you a referral to a local dermatologist.

[D Foster]

See the expert as it's not worth trying to do anything yourself , use a good moisturiser and when you have genital psoriasis it can cause thrush so keep an eye out for that but the bottom line is see someone who knows.

[Grizzly Bear]

I would be very careful using Trimovate cream in the groin area.

Thankfully, i've never had a problem with P on my love spuds & best friend.

I have had P close by & have had P related problems in the groin. For that, my GP prescribed Timodine.
Timodine is good and is used for many thinks but for me, my skin was red raw and inflamed because of my P but it has to be kept in the fridge and when applying, it's rather chilly !!!

As from Fred says, wear cotton clothing.
If you can, wear cotton jogging bottoms that are lose fitting around the house.

Good luck Armadi