Psoriasis on my penis and find it quite painful to have sex. What is the best treatment to use? Because the skin on your penis is relatively delicate, this limits the range of treatments that you can use on it. The preferred active treatment is usually a mild topical steroid, but simply using a moisturiser may help to soothe it and lessen any scaling. Using condoms may help to protect your penis and make sex less painful.
Do be aware that most condoms are damaged by oil-based substances (e.g. baby oil) and any ointments. If these substances are on your penis, the condom will not be safe. Durex, however, make a non-latex condom called Avanti, which they claim is safe for use with oil-based substances, so you should be safe with this type of condom after using ointments. Do note, however, that the condom may slip off your penis more easily during intercourse if you have applied a greasy ointment or cream prior to putting on the condom.
If you do not use condoms, applying a lubricant when having sex might make it less uncomfortable. Do not have sexual intercourse after applying any of the active treatments to your penis; they are not intended for internal use and might affect your partner badly. The other thing to bear in mind is that the friction your penis experiences during sex may aggravate the psoriasis. Refraining from having sexual intercourse until the psoriasis goes may be an option you and your partner could consider. In the meantime, of course, there are other ways of expressing loving feelings – for example, cuddling and fondling.
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