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Question No. 1: "How does genital psoriasis manifest?"

"The psoriasis can also be localised to the genitalia. The lesions are minimally scaly on the semi-mucosal surfaces. Genital involvement may be mistaken for eczema or a fungal infection."

Question no. 2: "Are there different forms of genital psoriasis?"

"The anatomical distribution of the lesions is diverse: intergluteal region, labia majora, glans penis, pubic area... all sites may be affected."

Question 3: "What is the prevalence of genital psoriasis among patients with psoriasis?"

"Genital psoriasis is not uncommon among affected patients. It may also present in isolation."

Question No. 4: "For genital psoriasis in women, are the treatments the same for the vulva and for the mucous membranes?"

"First of all, it should be noted that psoriasis does not affect the vaginal mucosa. Vulvar and cutaneous involvement is treated with topical corticosteroids." according to Dr AMODE.

One must also avoid anything that might be irritating, such as the use of detergent-based hygiene products, synthetic underwear or overly vigorous drying.

Question No. 5: "Is involvement of the intergluteal fold automatic when there is genital involvement?"

"Involvement of the intergluteal cleft is common but not invariable. Psoriasis can occur solely in the genital region.

Question No. 6: "Should penetrative intercourse be avoided during periods of inflammation?"

"First of all, like skin psoriasis, genital psoriasis is not contagious. Furthermore, there is no medical restriction on sexual activity. It is thus possible to have sexual intercourse, even when one has genital psoriasis." according to Dr. AMODE.

However, discomfort may be experienced during sexual intercourse due to friction. The lesions can lead to burning sensations, itching and pain.

Question No. 7: "During menstruation, is it preferable to use sanitary towels or tampons?"

"There is no contraindication to the use of tampons or sanitary towels; it mainly depends on the patient's comfort," says Dr AMODE.

However, it is possible that the use of sanitary pads during the pushing phase may cause additional irritation.

Question No. 8: "How to differentiate inverse psoriasis from a cutaneous fungal infection?"

"The intertriginous mycoses are superficial fungal infections caused by dermatophytes or yeasts, most often by yeasts of the Candida albicans commonly occurring in skin folds (groin, buttocks, under the breasts, etc.). They cause burning, itching, red and weeping patches, sometimes coated with a whitish deposit. As for inverse psoriasis, it presents as a well-demarcated red plaque. In cases of diagnostic uncertainty, the dermatologist may carry out a mycological sampling."

Question No. 9: "Does genital psoriasis affect libido?"

"Not directly. However, genital psoriasis can have an impact on self-esteem and consequently impose restrictions on sexual activity. It is primarily a psychological consequence."

Question No. 10: "Can one use a condom during an active psoriasis flare-up?"

"Whether female or male, there is no contraindication to it. It is entirely possible to use a condom."

Question No. 11: "Can genital psoriasis be mistaken for a sexually transmitted infection?"

"No, genital psoriasis cannot be confused with an STI. The presentation is not comparable." according to Dr AMODE

AIDS, herpes, syphilis… sexually transmitted infections (STIs) are acquired through sexual contact with another person, by blood transfusion, by sharing needles or during pregnancy from mother to child. However, psoriasis is not a disease that spreads horizontally; that is, someone with psoriasis cannot pass it on to another person by touch, via objects or through physical contact. The risk of contagion is zero. The psoriasis is a genetic disease.

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