Flaky bits Red thongs could hide genital psoriasis if they had more material.

Published on | by redblob


Taming Vaginal Psoriasis (QUICKLY!)

Next to penile psoriasis (which I wrote about here), vaginal psoriasis just might be the worst place of your body for psoriasis to creep onto.

Vaginal psoriasis often results in a confused, red pussy

Vaginal psoriasis often results in a red pussy

The most common form of vaginal psoriasis is known as “inverse psoriasis” or “flexural psoriasis” – a type that typically dwells in the creases and folds of our skin.

The worst of it is that it can appear anywhere around your genital area, including the pubic parts just above the vagina, the upper thighs, the vulva, the buttock creases and the most unmentionable one of them all  - the pooper. Now guys, just because there’s a red carpet leading to it doesn’t mean you can waltz in.

In very rare cases, vaginal psoriasis can also find its way into the mucous membrane or “inner vagina.” Since the area is so moist, the psoriasis down here is not normally “cracked”, but it will be sore, so handle with care. Plus, remember, consult a professional if the psoriasis is really painting the town red.

What vaginal psoriasis looks like

I warn you, dear reader, what you are about to see is not a pretty, delicate flower that you’ll find blooming on a clear spring afternoon. Its a a pissed-off lioness that’s been rolling around in the savannah dust. Or something.



How to treat vaginal psoriasis in a matter of weeks

If you haven’t noticed, given where they are on the body, these psoriasis patches need SPECIAL treatment. Here’s a few suggestions.

Stop wearing leggings.The first step is to stop wearing figure-hugging, vagina-smothering clothes, such as tights, leggings, thongs, g-strings etc. Loose clothing is important, because friction from rubbing fabrics, as well as sweating makes the area itchy and sore.

No scratching or any action! Scratching can exacerbate the symptoms of vaginal psoriasis and cause more itchiness as it stimulates the nerve fibres just underneath the skin. Apart from that, excessive scratching and rubbing can actually lead to your skin thickening around the vagina, which is called “Lichenification.” Plus, abstain from penetrative sex for a while or any kinky acts (i.e. hot candle wax doesn’t help down there.)

Make sure its not a fungal infection! Vaginal psoriasis is often misdiagnosed – it could just be candidiasis. Just make sure to get a second opinion, because reaching for the anti-fungal cream won’t help if it is indeed psoriasis.

Try a weak steroid cream. The first port of call for many women is their local pharmacy. Often a weak corticosteroid-based cream is sufficient, such as a 1% hydrocortisone ointment. It normally takes 4 to 6 weeks to go away, but MAY come back, in which case you should try a weak tar-based aqueous solution to keep it away. Plus, pregnant mothers should not use it for prolonged periods, as steroid creams can thin the skin, and that is something you definitely don’t want when pushing a 10lb baby through a straw!

Try light-therapy. Another treatment option for vaginal psoriasis is phototherapy, but it is not affective in treating psoriasis in-between the skin folds, unless you’re willing to lie there spread-eagled that is!

Go easy in the shower. When showering, try not to use any special washes down there (women don’t need them anyway!) or harsh soaps, as the area is super sensitive. Plus, keep the water lukewarm. After you get out, use something natural, such as coconut oil to moisturise the vagina.

Consult your gynaecologist before pursuing any sort of action! The vagina is a strange and wonderful thing, and there are many types of vulva rashes, so make sure to pinpoint the problem before you try anything.

If you have vaginal psoriasis, please leave a comment! How do you deal with it? What products work?

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About the Author

I'm just an average 25 year old living with psoriasis. Over the last decade, I've tried everything, from real snake poison to rubbing banana peels over my body. I've finally found an approach that's working for me, and I'm sharing it with all the flakers out there. But Psoriasis Blob is not about one man, it's a growing community of great, red people.

24 Responses to Taming Vaginal Psoriasis (QUICKLY!)

  1. Louise unsworth-murphy says:

    Hi my genital psoriasis leaves me in tears every night I am at this moment crying because I’m so sick and tired of it itching like mad I can’t help to scratch or I’m twitching and jerking I used steroid creams upto 3% and just don’t know what else to do its driving me crazy pls help.

  2. dianahockley says:

    Louise, get your doctor to prescribe you HYDROFORM. It’s expensive and it’s an oldie, but a goodie. You might have to go to several pharmacys before you can get it.

    I have had this problem for seven years and finally got to a Dermatologist (I was wrongly diagnosed) and he put me on this. 24 HOURS and it was under control. Do please get it, mate. It can only help you I am sure. Do please let me know how you get on.

    For maintenance, get a chux super wipe or soft piece of material and wipe yourself with warm water after every pee. I keep a few packets of chamomile tea for when there is a flare-up. Make up one bag and then dip the super wipe into the mixture, squeeze it out and then put it between your legs. It soothes incredibly. Once you get onto the Hyroform, you shouldn’t have any more trouble. BTW, it stains your knickers yellow so I will be wearing black ones from now on. Best regards, Diana

  3. Miriam says:

    I use a prescription medication called Clobestasol Propionate 0.05%. It is the only thing that has helped at all. I was diagnosed several years ago by my gynecologist who did a “punch biopsy” to diagnosis it (majorly painful). A year later I went to a dermatologist thinking they would have better ideas on how to treat it. They didn’t believe I really had psoriasis, even though I told them the biopsy had been sent to a lab. Went back to gyno (same practice, different Dr.) who has been very supportive and is the one who prescribed the above medication. Even with this med, I am in constant pain if it is hot or for many other reasons. I now only wear loose, all cotton underwear, try and wear loose or loose-ish clothing and when it is hot or I am having more issues I take 2 showers a day.

    I feel like my private parts are swollen looking and they often itch, I sometimes wake at night itching, even when I try not to. I have bought some super thin (they don’t make many of them any more) maxi pads for comfort when it’s really bad. When I am on my period, I always use tampons because the dampness from a pad would make the issue much worse.

    If anyone has ideas, meds or anything, please let me know!

  4. dianahockley says:

    I am in Australia.

    Miriam, do try the chamomile tea when it’s really bad. I’ve had my “bits” like raw meat with acid thrown on them and it’s the only relief I’ve been able to get. A woman on the lichen sclerosis forum told me about it – that’s what I was diagnosed with for seven years and it was WRONG. The dermatologist took a biopsy (ouch) and it came back psoriasis.

    The HYDROFORM ointment (made by Stiefel) is the best ever and I am still fine after three weeks. You don’t say where you are, so it may be named something differently in another country. It’s an anti-fungal cream with Hydrocortisone (1%w/w) and Clioquinol (1% w/w) whatever that means. Also Paraben, and lanolin. Of course it is fragrance free.

    The dermatologist also prescribed cold tar cream (made up by a pharmacist but within a few hours “you know what” was back again, so I rushed the Hydroform back into action. I only use a tiny swipe of it twice a day and also on my elbow and on my hysterectomy scar which is under my “apron” (I’m not a sylph unfortunately!)

    I, too, never wear knickers at home and used to wear a thick pad with Cortic cream slathered on it when I went out but since using the Hydroform, I’ve been able to wear knickers out. As I told Louise, the H stains material so I’ve been wearing black pants. I only ever use sorbalene cream to wash in, only soap on my feet. Nothing with perfume or additives.

    Do please let me know how you both get on. It’s an awful curse to have and I hope you can get comfortable.


  5. dianahockley says:

    Oops, forgot to tick the box for letting me know when someone posts on here, so had to add this in so I can tick the box. A senior moment… :(

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