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Female Sexual Dysfunction

Vulvar Psoriasis

Vulvar psoriasis presents as red, well-demarcated plaques on the vulva that can cause itching, burning, and discomfort during intercourse, often requiring specialized treatment due to the sensitive nature of the area.

75%
Success Rate
Chronic condition with flares and remissions
Duration
Multiple
Treatment Options
3+ Groups
May Affect

What is Vulvar Psoriasis?

Vulvar psoriasis presents as red, well-demarcated plaques on the vulva that can cause itching, burning, and discomfort during intercourse, often requiring specialized treatment due to the sensitive nature of the area.

Prevalence: Psoriasis affects 2-3% of population; genital involvement in 30-40% of cases

Symptoms and Signs

  • Red, smooth plaques on vulva
  • Intense itching
  • Burning sensation
  • Skin cracking and fissures
  • Pain during intercourse
  • Scale (may be absent due to moisture)

Causes and Risk Factors

Common Causes

  • Autoimmune T-cell activation
  • Genetic predisposition
  • Trigger factors (stress, infection, trauma)

Risk Factors

  • ⚠️Family history of psoriasis
  • ⚠️Autoimmune conditions
  • ⚠️Stress
  • ⚠️Obesity
  • ⚠️Smoking

Treatment Options

Expected Outcomes: 70-80% improvement with appropriate topical therapy; biologic therapy for refractory cases

Available Treatments:

  • Low to mid-potency topical corticosteroids
  • Topical vitamin D analogs
  • Topical calcineurin inhibitors
  • Biologic therapies (severe cases)
  • Ultraviolet therapy (narrowband UVB)
  • Emollients and moisturizers

Prevention Tips

  • Stress management
  • Avoid skin trauma
  • Moisturize regularly
  • Identify triggers

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