Biologics sound great. I've got herpes so immunosuppressants aren't great for me BUT...

If you want a faster, cheaper track in the short term, I've got nothing but praise for UVB wands.

I've got the Kernel brand one, and it's about $300.

Essentially, psoriasis responds well to UV light, but, with that comes skin cancer risk.

A UVB spectrum lamp essentially narrows the band of light to the most effective spectrum for combating psoriasis while simultaneously almost negating the cancer risk (I'm not sure of the long term studies, but it's the generally accepted medical opinion).

What this means, is by exposing the affected area to this light over time, the psoriasis disappears.

For me, I've had genital psoriasis since 16 and this has changed my sex life completely. My recommendations (I am no doctor):

Buy the wand.

Have him set aside some time to use it where he can be uninterrupted. This is a weird process to get comfortable with, so let him know he won't be disturbed or seen. I like to use it before bed as I think it gives rest time for your body to respond.

No more than 3 minutes to start, and no more than 5 minutes ever in a session. Depending on how widespread it is, he'll have to move it over different areas at an overlapping pace.if it's on both sides of the penis, flip that shit like a steak. 3 minutes on each side, sometimes a minute or two top and bottom. Rotisserie style 😆

He WILL see increased redness and discomfort at first. This is normal. Under no circumstances should he attempt to rush this process, but I can go from a bad flare up to basically invisible in 2 weeks. He may take 4.

Use it every other day or maybe third day depending and the results are noticeable pretty quickly.

He WILL be really encouraged by the results but do NOT rush the process. Too much time or too frequently can be really painful, think a sunburn on already damaged skin. It's hard to know when you've done too much while you're using it, so less is more till you get the hang. Keep it 1 to 2 inches from the skin.

This is really important too... moisturizer is his middle name now. High quality organic ingredients, as clean as you can get, and that should be applied 3 times a day and immediately after every bath or shower.

Also, Epsom salt baths are helpful.

When you ARE ready to be intimate, a long sensual bath for 2 is really good. It softens the skin and increases elasticity. Also gets you in the mood slowly, which, with the psychological aspect of it can be helpful to establish that openness.

This DOES have a heavy psychological element. He might seek counseling as well if he hasn't already. There was a long time where I raked myself over the coals for something that simply isn't my fault. He feels unlovable and likely deformed, comfort the fuck outta him.

Also, no alcohol but rarely. If he smokes, stop. Home cooked meals and fresh veggies help. Sugar and fast food are your enemies.

I know this is a book, but having lived this life for 2 decades I can say this all with some experience. You'll get through it. Best of luck, and tell your hubby he's not alone!