Erectile dysfunction
Psoriasis and Erectile Dysfunction: The Link and What Helps
Psoriasis and erectile dysfunction are linked through inflammation, blood vessels and mood. Learn why, what helps naturally and when to get checked.
In short: Psoriasis and erectile dysfunction are linked. Studies show men with psoriasis have a higher risk of erection problems, likely because of inflammation, blood vessel effects, related conditions such as diabetes and high blood pressure, and the emotional impact of the skin condition.
Is psoriasis linked to erectile dysfunction?
Psoriasis is a long-term inflammatory condition that causes red, scaly patches on the skin. It is not just a skin problem. Inflammation affects the whole body, and psoriasis is linked to heart disease, diabetes, high blood pressure, obesity and depression.
A meta-analysis published in 2018 found that men with psoriasis were more likely to have erectile dysfunction than men without it. A systematic review the same year reached a similar conclusion for sexual dysfunction more broadly. The link appears strongest in men who also have heart and metabolic risk factors.
Why psoriasis can affect erections
Inflammation and blood vessels
Erections depend on healthy blood vessels that can widen quickly. Long-term inflammation can damage the inner lining of blood vessels, called the endothelium, which makes it harder for blood to flow into the penis.
Related health conditions
Men with psoriasis are more likely to have high blood pressure, high cholesterol, type 2 diabetes and excess weight. Each of these is a known cause of erection problems. See sitting all day and erectile dysfunction and fatty liver and erectile dysfunction.
Genital psoriasis
Psoriasis can affect the penis, scrotum and groin. Genital psoriasis can be sore, itchy or embarrassing, and many men avoid intimacy because of it. On the penis it often looks like small, smooth red patches rather than thick scales.
Mood and confidence
Living with a visible skin condition can affect self-esteem and mood. Anxiety and depression are both linked to erection problems and low desire.
Medicines
Some medicines taken alongside psoriasis treatment, such as certain blood pressure tablets, can affect erections. Never stop a prescribed medicine on your own. Speak to your prescriber.
What helps
Get your psoriasis managed
Psoriasis should be diagnosed and managed by an appropriately registered medical professional, such as a dermatologist. Genital skin is sensitive, so do not use strong creams there unless you have been told they are suitable.
Look after your heart health
Because the link runs through blood vessels, protecting your heart helps your erections too:
- Know your blood pressure, blood sugar and cholesterol.
- Stop smoking, which worsens both psoriasis and erections.
- Cut down on alcohol, which can trigger psoriasis flares.
- Move most days and aim for a healthy weight.
Eat to reduce inflammation
An eating pattern rich in vegetables, fruit, legumes, whole grains, oily fish and olive oil supports blood vessels. Read our guide to the Mediterranean diet for erectile dysfunction.
Manage stress
Stress can trigger psoriasis flares and also affects erections. Breathing exercises, sleep and regular exercise help. See meditation for erectile dysfunction.
Talk to your partner
Psoriasis is not contagious. Explaining this to your partner can ease worry on both sides. Use a gentle, fragrance-free lubricant during flares to reduce friction. Our lubricant guide for men explains the options.
How a naturopath can support you
A naturopath can work alongside your dermatologist, looking at diet, stress, sleep, weight and natural support for circulation and erections. We always check your current medicines first, because some herbs interact with psoriasis treatments.
Why men choose our natural approach
Walk in or consult remotely
Walk in at Buccleuch, Sandton, with parking available, or consult by phone or video from anywhere in South Africa.
Natural and non-surgical
Herbal remedies and practical guidance, with no injections or surgery.
Faster appointments
Enquiries answered 24/7, with same-day appointments often available.
Transparent pricing
Consultations are R2,500, with any remedy costs confirmed before you commit.
Private self-check: 5 quick questions
Answer these honestly before you try anything new or book. They help you describe what is happening and get more from your first consultation.
- Do you struggle to get or keep an erection firm enough for sex more than half the time?
- Have you noticed fewer or weaker morning erections?
- Do you have high blood pressure, diabetes, high cholesterol or a heart condition?
- Do you smoke, vape, drink heavily or feel under constant stress?
- Is it affecting your confidence, relationship or desire for intimacy?
A yes to question three, or erection problems with chest pain or breathlessness, means you should also see an appropriately registered medical professional. For lifestyle-related concerns, a naturopath can help with natural support alongside medical care.
What happens at your first consultation
- Walk in or book online, call +27 10 205 9855 or WhatsApp +27 81 823 1313. In Gauteng, walk in at 199 Vanessa Street, Buccleuch, Sandton, where parking is available. Outside Gauteng, choose a confidential phone or video consultation. Enquiries are answered 24/7.
- Talk privately with a naturopath about your symptoms, health history, lifestyle and goals.
- Receive a personalised natural plan, with any remedy costs confirmed upfront.
- Follow up in person or remotely so your progress is reviewed and your plan adjusted.
Your health and safety
Our naturopaths use natural remedies and lifestyle support, and always check your health history and current medicines first. If anything needs medical attention we tell you honestly and refer you to an appropriately registered medical professional. Avoid unregistered “enhancement” products sold online or at markets, as SAHPRA has warned that some contain hidden ingredients.
Seek urgent medical care for chest pain, an erection lasting more than four hours, sudden weakness or other sudden symptoms.
Consultation price
A consultation is R2,500, in person or remote, and your naturopath confirms any further costs before you go ahead. See our mens clinic prices for details.
Frequently asked questions
Can psoriasis cause erectile dysfunction?
Psoriasis is linked to a higher risk of erectile dysfunction, probably through inflammation, blood vessel effects, related conditions and mood.
Can psoriasis affect the penis?
Yes. Genital psoriasis can affect the penis, scrotum and groin. It often looks like smooth red patches and should be checked by a medical professional.
Is psoriasis contagious during sex?
No. Psoriasis is not contagious and cannot be passed to a partner.
Can diet help psoriasis and erections?
An anti-inflammatory eating pattern, healthy weight, less alcohol and not smoking can support both skin and blood vessel health.
Can a naturopath treat psoriasis?
Psoriasis should be diagnosed and managed by a registered medical professional. A naturopath can support lifestyle, stress and sexual health alongside that care.
How much does a consultation cost?
A consultation is R2,500, and any remedy costs are confirmed with you before you go ahead.
Book your consultation today
Walk in at our Sandton practice any time, day or night, or book ahead. Outside Gauteng? Book a remote consultation.
References and further reading
- PubMed: Association Between Psoriasis and Erectile Dysfunction, a meta-analysis
- PubMed: Psoriasis and sexual and erectile dysfunction, a systematic review
- NHS: Psoriasis
Reviewed by George Mulaudzi, Naturopath. This page is general information and does not replace a personal consultation. If you have chest pain, sudden symptoms or a medical emergency, seek urgent medical care.
