Management of the Impact of Psoriasis on Sexuality: Consensus Recommendations From the Psoriasis Working Group of the Spanish Academy of Dermatology and Venereology

Abstract

Sexuality is a key component of quality of life; therefore, sexual dysfunction can affect both physical and emotional well-being. However, despite its high prevalence, the impact of psoriasis on patients' sexual health is often overlooked in clinical practice. This Delphi study aimed to provide consensus recommendations among dermatologists on the comprehensive management of the impact of psoriasis on sexuality and to identify the barriers they face when addressing this issue. Consensus was reached on 23 recommendations (88.5%) addressing the impact of psoriasis on sexuality, early detection, management, referral strategies, and sexual dysfunction. Topics considered beyond the scope of dermatologists did not reach consensus. The main barriers identified were lack of time (20%), patients' reluctance or discomfort (16.1%), lack of awareness of validated questionnaires (14.3%), and insufficient specific training (13.9%). Overall, these recommendations aim to guide the appropriate management of the impact of psoriasis on sexuality and to promote greater recognition of its relevance in clinical practice.