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Severe perianal, anal, vulval itch and burning sensation
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Severe perianal, anal, vulval itch and burning sensation

I have been suffering from vulval, perianal and anal itching (mostly in the inches surrounding the opening, but not anus itself) for almost two months now.  I have seen two doctors, the first prescribed flagyl for bacterial vaginosis.  During the course of this treatment i did not receive any relief from the severe itching.  The second doctor thought it might be a small yeast infection on the skin's surface and prescribed two different creams (the second two weeks after the first treatment failed): nystatin and canestin.  I last used treatment over 3 weeks ago.  I have been examined and tested, and std's have been ruled out.  My family doctor said the skin did not appear inflamed but that i had a slightly yellow discharge.  When I inspect the area, it appears to have a small rash -  very small bumps are visible that were not present before, and covering most of the skin and mucous membrane from my urethra and back.

Since 3 weeks after this exam I have not noticed any abnormal discharge, and for about a week the itching became less noticeable.  Now however it has returned and tends (like before) to be quite severe late in the day, after exercise, and when i am trying to fall asleep. There are no symptoms immediately when I wake up before using the washroom.  The itching is eased by warm or hot baths with vinegar, but not baking soda or salts.  It is aggravated by toilet paper.

Since the onset, I have changed to fragrance free soap, bathed without scrubbing, changed toilet paper and wear only cotton underwear.  For the last week I have applied an otc cortisone cream to the crease of my buttocks, but not the anus- this helps briefly for about 1 hour or less.

Please help, I am very concerned and irritated.  Should I continue to seek help from a doctor, or is this something that should go away on it's own?
4 Comments Post a Comment
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Avatar_dr_f_tn
Hi.

This sounds like there is an overlying bacterial infection. Have you sought consult with a gynecologist? I suggest that you see your gynecologist for this so that a pap smear and culture of the discharge may be done to help guide treatment. A urinalysis may also help rule out a UTI .A fungal infection may also be present and this may help explain the persistence of the condition.

You may need oral antibiotics for this.
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Avatar_n_tn
Have you ever heard of lichen sclerosus?

http://www.niams.nih.gov/Health_Info/Lichen_Sclerosus/lichen_sclerosus_ff.asp

http://www.mayoclinic.com/health/lichen-sclerosus/DS00725

http://www.medicinenet.com/lichen_sclerosus/article.htm
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Avatar_f_tn
Hi  People will tell you to use yeast cream, bacterial cream, steroids, etc,  but the real problem is HPV  the type 16 probably , one of the bad types that cause cancer sometimes when your old around 60 , it never gets treated because doctors are lazy and they don't want to work down there, fear of catching it etc...  Only a gynecologist will tell you what you really have and some are not good at all.   You need to treat the invisible infection on the vulva separate from the vagina and cerivix, and the peri anal needs separate treatment to.  Cryosurgery works but getting a gyn to treat more then the vagina and cervix dysplasia is near impossible.  I suggest finding Podophyllum Paint for the Vulva, buy a ton and its pain free mostly some stinging but it feels good killing the hpv type 16 or other bad type.  The extreme itching goes away and any pain feels good compared to itching to death.  The itching on the vulva and perianus is from bad cell growth inside the cell at cell level so the dna on the vulva deep inside the skin and anus it not normal or healthy, this is why it can over a long period turn to cancer, the same virus is why woman get pap smears, its the same thing, and it is caused by an infected Penis, yes the men have it and it only shows as redness on there shaft then you are gonna suffer like being stung by 1000 hornet bees for the rest of your life, it caused me to suffer mentally too, completely recks your life, this is so bad the scientists invented Gardisil Vacine for girls to take because the boys fool around so much the ladys get it even the virgins.  I was a virgin when I caught this and been angry and depressed since.  I do not feel happy either.  I wish they would have a shot after you get it and why the hell they are not vaccinating every young boy so they stop spreading it to girls and women is beyond me.  It is totally a mans world, they don't want the women to stop having sex.  This virus is aweful.  My own daughter is so dumb she refused to take the Gardasil shot, she said that's like accusing her husband of cheating, wake up ladies, boys have a very strong sex drive, I even saw young boys standing in a very long line to screw or have sex with a hooker at a party when I was only seventeen and some good boys where in that line.  God knows the good women even the virgins they later marry will be like having sex with every hooker they had sex with and the hpv is a living hell.  Every woman with dysplasia of the cervix has hpv type 16, it is BS that this **** goes away on its own, another trick to keep us woman having sex, no it does not go away, that vaginex anti itch cream you use is prolly from hpv.  These bad types 16, 18 and others cause a redness, itch , swell that's it.  put vinegar on it you will see the white dots wihich is the hpv, they grow and grow slowly over time and by the time your 50 or 60 and no one wants sex with you anyway the want to give you a hysterectomy, or chemo radiation for cancer,    Wake up take your Gardasil shot all of it prior to ever having even protected condom sex with anyone.  Have your boyfriend get a hpv shot before ever allowing him to even touch you with his hands, it is very contagious and oral sex too with give you it in your voice box, throat, anas inside otch, vulva all over, peri anal, vagina and cervix.  Good luck and god Bless, I am so sorry.  I hope this truth help you and others.
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Avatar_f_tn
Hi  People will tell you to use yeast cream, bacterial cream, steroids, etc,  but the real problem is HPV  the type 16 probably , one of the bad types that cause cancer sometimes when your old around 60 , it never gets treated because doctors are lazy and they don't want to work down there, fear of catching it etc...  Only a gynecologist will tell you what you really have and some are not good at all.   You need to treat the invisible infection on the vulva separate from the vagina and cerivix, and the peri anal needs separate treatment to.  Cryosurgery works but getting a gyn to treat more then the vagina and cervix dysplasia is near impossible.  I suggest finding Podophyllum Paint for the Vulva, buy a ton and its pain free mostly some stinging but it feels good killing the hpv type 16 or other bad type.  The extreme itching goes away and any pain feels good compared to itching to death.  The itching on the vulva and perianus is from bad cell growth inside the cell at cell level so the dna on the vulva deep inside the skin and anus it not normal or healthy, this is why it can over a long period turn to cancer, the same virus is why woman get pap smears, its the same thing, and it is caused by an infected Penis, yes the men have it and it only shows as redness on there shaft then you are gonna suffer like being stung by 1000 hornet bees for the rest of your life, it caused me to suffer mentally too, completely recks your life, this is so bad the scientists invented Gardisil Vacine for girls to take because the boys fool around so much the ladys get it even the virgins.  I was a virgin when I caught this and been angry and depressed since.  I do not feel happy either.  I wish they would have a shot after you get it and why the hell they are not vaccinating every young boy so they stop spreading it to girls and women is beyond me.  It is totally a mans world, they don't want the women to stop having sex.  This virus is aweful.  My own daughter is so dumb she refused to take the Gardasil shot, she said that's like accusing her husband of cheating, wake up ladies, boys have a very strong sex drive, I even saw young boys standing in a very long line to screw or have sex with a hooker at a party when I was only seventeen and some good boys where in that line.  God knows the good women even the virgins they later marry will be like having sex with every hooker they had sex with and the hpv is a living hell.  Every woman with dysplasia of the cervix has hpv type 16, it is BS that this **** goes away on its own, another trick to keep us woman having sex, no it does not go away, that vaginex anti itch cream you use is prolly from hpv.  These bad types 16, 18 and others cause a redness, itch , swell that's it.  put vinegar on it you will see the white dots wihich is the hpv, they grow and grow slowly over time and by the time your 50 or 60 and no one wants sex with you anyway the want to give you a hysterectomy, or chemo radiation for cancer,    Wake up take your Gardasil shot all of it prior to ever having even protected condom sex with anyone.  Have your boyfriend get a hpv shot before ever allowing him to even touch you with his hands, it is very contagious and oral sex too with give you it in your voice box, throat, anas inside otch, vulva all over, peri anal, vagina and cervix.  Good luck and god Bless, I am so sorry.  I hope this truth help you and others.
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