Sperm can live for only a few hours inside the vagina, and even less than that outside the human body, exposed to the open air. If the sperm survive to enter the less hostile environment of the female reproductive tract beyond the cervix, they can survive for up to five days.
Otezla (also known by its non-commercial name, Apremilast) is a systemic medication that received UK Marketing Authorisation (a licence) in 2014. It was approved by the Scottish Medicines Consortium (SMC) for the treatment of moderate to severe psoriasis in Scotland in 2015.
Disease-modifying antirheumatic drugs (DMARDs) may relieve more severe symptoms and attempt to slow or stop joint and tissue damage and progression of psoriatic arthritis. Antimalarial treatment, commonly used with success in rheumatoid arthritis, has sometimes been used to treat psoriatic arthritis.