First of all you are making a HUGE mistake going to the ER 3-4 times for a gynecological problem. ER doctors and nurses specialize in urgent, emergency care -- NOT in gynecology. Repeatedly going to the ER will not solve the problem. You need to FOLLOW UP with a specialist -- an ob/gyn, obstetrician/gynecologist who specializes in treating the female reproductive organs, of which the vagina is only one part.
Secondly, there are a number of disorders that can cause you to feel like you have worms or insects crawling in you or on you. They can be dermatological problems (skin), immunological (allergic reactions or autoimmune disorders), neurological problems (problems with the nerves), substance abuse related (addiction), and psychiatric (mental illness related).
The ER is NEVER going to be able to figure out which it is -- they will only be able to do a pelvic exam on you, swab you for STDs, and let you know if you are pregnant or have an STD. ERs are not doctor's offices and they are not clinics, although I know many, many people think that they are. ERs are NOT intended to follow your chronic health problems and treat them regularly. That is not what the ER is for and it is not what they do best. You hit your head and want to rule out a skull fracture? Go to the ER. You fell and sprained your ankle? Go to the ER. You cut yourself really badly while cooking at home? Go to the ER. You were raped/assaulted/robbed/stabbed/shot? Go to the ER. You're having horrible cramps, excessive bleeding, think you're going to pass out, and had a positive pregnancy test last week? Go to the ER, you're probably having a miscarriage. You took too much heroin? Go to the ER. You are hearing voices and seeing things that are not there, or you're suicidally depressed and you want to kill yourself? Go to the ER, and they'll find you a psychiatric hospital. You went out to eat and less than 2 hours later you're repeatedly vomiting and having diarrhea? Go to the ER, you probably have food poisoning.
But if you have an itchy anus/vagina, the ER is not the right place to go (you need a gynecologist). If you have a lump in your breast, the ER is not the right place to go (you need a gynecologist and a mammogram). If you have an infected hangnail, don't go to the ER; go to a local clinic, find a regular doctor. If you have a headache, cough, congestion and sore throat, the ER is the wrong place to go (go to Walgreens, get some Tylenol, Sudafed, and expectorant cough syrup, stay home, rest, and drink lots of non-caffeinated fluids). You have hemmorrhoids? Don't go to the ER, go to your primary care doctor or a urologist or gynecologist.
For a sensation of worms in/around your vagina and anus, or all over your body, you need a primary care physician, one main doctor who you see regularly, and one who can refer you to the appropriate specialists. You have a snowball's chance in hell of figuring out what the root problem is by going repeatedly to the ER. They are only going to rule out *emergency* problems.
Your best hope for a correct diagnosis and treatment/possible cure is to follow up with a primary care physician and getting referrals to appropriate specialists (like gynecologist, dermatologist, immunology/allergy doctor, etc.). Repeatedly going back to the ER for a problem that they can't find is only going to make them think you are a psych patient who refuses to get mental health care.
You might try taking Benadryl or Zyrtec every day for several days, to see if that stops the sensations of worms crawling in/on you. If either of those make the worm-crawling sensation go away, you're probably having some kind of allergic reaction to something, possibly a soap, shampoo, or laundry detergent.
You can also check for pinworms, which can cause an itchy/worm-crawling sensation around the anus/vagina (because they ARE worms). First thing in the morning, before you go to the bathroom, put a piece of clear Scotch tape over your anus and then remove it. Bring this to a doctor's office (or, if you have your own microscope, you can check it yourself) for them to check for pinworm eggs. If they find eggs on the tape, that's your problem: intestinal pinworms. (If you don't believe me, check WebMD or PubMed Health and you'll see that the tape test is a real test.)
Bottom line: If you want to solve this problem and get a correct diagnosis, see a primary care doctor or a gynecologist, make it to all of your appointments on time, do what they tell you to do, take whatever medications they prescribe, and go to whatever specialist doctors they refer you to.
But if you want to waste time and money over and over without getting any closer to a diagnosis -- and if you want to continue to suffer -- then keep doing what you've been doing (going to the ER repeatedly).
Pinworms oh Lord i will have to say that is likely the culprit with that said, i also had blister rashes in the webs of my fingers, which sparked the initial thoughts of ringworm and later led to pinworms. Caused by nothing you’ve done wrong I’m assuming. I have a 3 year old whom loves to wipe his own *** and more then likely doesn’t wash his hands and puts them in his mouth. That’s it that’s how it all begins.
Wow this **** just blew my mind
do you eat raw or undercooked meat or vacationed and drank contaminated water in a third world country? In Ethiopia it is customary to eat raw meat. Having worms in your vagina is a common occurrence and not really something to worry about. It is a common issue among Ethiopian women. I had Guinea Worms in my legs before and its a a lot worse than the worms in my Vagina.