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.
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 etc.?