Psoriasis is a common, chronic, inflammatory disorder of the skin which has a considerable impact on social functioning and personal relationships. Genital involvement can have devastating psychosexual implications for psoriasis patients.
This study was designed to examine the prevalence and nature of genital involvement in patients with psoriasis, to ascertain risk factors for the development of genital psoriasis, to determine the impact of genital disease on quality of life and sexual functioning.
38% had current genital involvement while almost two thirds reported a current and/or previous history of genital involvement. 87% reported itch, 39% pain, 42% pain on intercourse, 32% a worsening of their genital psoriasis after intercourse, and 43% a decreased frequency of sexual activity.
Patients with genital psoriasis had more impairment in quality of life and sexual health as determined by the Dermatology Life Quality Index, the Center for Epidemiological Studies-Depression Scale, and the Relationship and Sexuality Scale.
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