Hi . I am not sure precisely what symptoms you are experiencing, but genital psoriasis is fairly common in both men and women. Here is a link to search results from our sister site, PlaquePsoriasis.com: https://plaquepsoriasis.com/search?s=genital%20psoriasis. Remember that you are anonymous here. If you want to give more details so we can try to help, don't be shy. No one here will know who you are. If your issues are not skin-related, I would probably reach our to both your rheumatologist and your primary care doctor. There are lots of issues that can develop in men at your age and can impact sexual functioning, including hormone imbalances and varicoceles. I hope this helps and that you get lots of responses from the community. Best wishes! - Lori (Team Member)