Help for itching and cuts in anorectal area

[missblg]

In Late January I had a vaginal procedure. Almost immediately I began experiencing painful itching in vaginal, perenium and anorectal area. When I went in for my follow-up I mentioned it to doctor and he said it was a yeast infection and to use the appropriate medication. That did not help. I asked my pharmacist what she recommended and since, I have tried an antibiotic, hemmoroidal cream, hydrochloride cream, and Desitin. The vaginal area is actually doing much better, but the area around my anus is still hurting, itching and bleeding. Upon inspection by my husband, he found several small cuts in the area. Some of these creams have soothed the itching and pain, but then it starts all over again. I use wipes when I have a bowel movement, as toilet paper was making things worse.
What can this possibly be? What's the best way to deal with it?

[Ratnakar Kini, MD]

Hi,
Is the bowel movements painful? Are you constipated?

[missblg]

No, I really have not been constipated any more than usual. After bowel movement, my anus is a bit sore,

[Ratnakar Kini, MD]

It could be due to anal fissure, hemorrhoids, infection,  contact dermatitis, diabetes,  and lastly precancerous lesions like Bowen's disease .
Treating the underlying cause is advised.
You should stop 'polishing' the anus thinking it is unclean which causes it to itch.
Wiping gently with wet tisue may be done.
Other treatment options include high fiber diet, plenty of fluids , 1% hydrocortisone cream