Can hemorrhoids cause a cut in perineum region?

Female, 22 years old.

For the past month I've been experiencing rectal discharge and itching due to an internal hemorrhoid, and have been taking Proctofoam rectally (anti-steroid medication) for about 10 days. While in the shower today, I felt sudden soreness as I was washing my genitals. When I used a mirror, I noticed a large cut about 1 inch long on the upper right side of my perineum, below my vaginal opening. It's been almost three months since my last sexual encounter.  Can the cut be caused by the hemorrhoid medication? Any treatment tips besides Metamucil? My entire perineum/perianal region has been red/irritated for about a month now..

[TheaT]

I would suggest you see a colon rectal doctor.  They must see this sort of thing frequently.  They can give you good advice.  I do not know what to say about the cut, just get it checked.  Just don't want you to get an infection!