Psoriasis and Male Sexual Dysfunction

[Fred]

Following on from this January thread Erectile Dysfunction and Psoriasis a new study here is some more information from a study in Taiwan.

Men with psoriasis are at an increased risk for sexual dysfunction, research suggests.

This risk was greater in elderly men compared with their younger counterparts, report investigators.

The study, led by Yun-Ting Chang (Taipei Veterans General Hospital, Taiwan), suggests "physicians should pay attention to the impact of psoriasis on psychosocial and sexual health, especially in old-age patients."

Individuals with psoriasis frequently have other medical conditions, including arthritis, cardiovascular diseases, metabolic syndrome, and psychiatric illnesses.

Sexual activity is known to be impaired in some individuals with severe psoriasis, a finding that has been attributed to physical disfigurement, cardiovascular disease, and psychological problems.

Published in the Journal of Sexual Medicine, the latest study included 12,300 male patients with newly diagnosed psoriasis and 61,500 controls from a national health insurance database.

Of these patients, 1812 experienced some form of sexual dysfunction during the 7-year follow-up period, including 373 men with psoriasis and 1439 without psoriasis. The most common sexual dysfunction observed was erectile dysfunction (ED).

This translated into a 27% higher risk for sexual dysfunction in men with the chronic inflammatory skin condition when compared with men without psoriasis.

When patients were stratified by age, the risk for sexual dysfunction was not significant in men 40 years of age and younger. However, men with psoriasis who were aged 41-60 years had a 32% increased risk for developing sexual dysfunction and men older than 60 years had a 42% higher risk for sexual dysfunction compared with men without psoriasis.

The risk of sexual dysfunction was not significantly elevated in men being treated with phototherapy or systemic therapy, including retinoid, methotrexate, and cyclosporine.

Overall, there were higher rates of diabetes, hypertension, high cholesterol, coronary artery disease, and stroke among the men with psoriasis, findings that confirm previous studies, according to the researchers.

"These factors have been found to be associated with ED in recent studies," they report.

Source: news-medical.net

[Krissie_Wright]

I can understand most of the logic behind this.. After all, when you have psoriasis the prospects of getting nekkid with someone is a very stressful thing.

Most male sexual dysfunction is psychological and we all know that some of the worst side effects of psoriasis are the psychological ones. That said, psoriasis sufferers are more likely to suffer from hardening of arteries and blood pressure issues because of the genetics of the condition (more so if you have PsA too) and this can be a contributing factor to impotence.

I guess when you get into a relationship where you have a very understanding partner and feel comfortable being intimate with them then the majority of the factors which can lead to sexual dysfuntion can be alleviated. Sadly too many Psoriasis sufferers are too withdrawn and socially isolated to form these kinds of wholesome relationships.

[mataribot]

My issues with with my wife have nothing to do with psychology. I have P in that area and the only thing that helps is steriods. Unfortunately, the steriods leads to yeast infection and well the cycle continues. I was hoping the Stelara would help with this issue, but it hasnt as of yet.

[Fred]

My issues with with my wife have nothing to do with psychology. I have P in that area and the only thing that helps is steriods. Unfortunately,  the steriods leads to yeast infection and well the cycle continues. I was hoping the Stelara would help with this issue, but it hasnt as of yet.

How long have you been on Stelara? it did for some reason seem to take longer to clear my genital area. Also have you tried Coconut Oil it's a great moisturiser and can be used on the genitals, it can also be fun if you get your partner involved

*Please note that Coconut Oil could possibly damage latex, so it's use is not advised on the genital area if you use condoms.  

[mataribot]

Fred, I get my fourth shoot next week. I know it's not been long and my results have been decent, but I am frustrated with that area.

[Fred]

Fred, I get my fourth shoot next week. I know it's not been long and my results have been decent, but I am frustrated with that area.

I know what you mean mate, but stick with it I'm sure it will clear eventually. But give the Coconut oil a try, I still use it very day even though I'm clear.