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Itching in groin area

Disclaimer: sorry if this is TMI! Really seeking some guidance here
I have been on birth control (same brand) for 4 years and I had noticed that my external vaginal area would be itchy periodically. That started about 2 years ago and I found that taking a yeast infection treatment didn't help so I assumed it was a natural side effect of BC. In the past few months the problem has worsened and the inner labia down to perineum and anus are now constantly red and more frequently itchy. It seems to be some sort of inverse psoriasis because I have that smooth pink rash in my butt crack and a one or two bumps. To make things worse, I'm taking accutane right now (not sure if that's caused any of this) and I've noticed I'm more prone to hard stools that have caused what I think is an anal fissure. Please help me Sad I haven't been to a doctor yet because I am embarrassed and if the cure is something non-prescribed I would rather try that first. I am not sexually active right now but would imagine sex would be unpleasant in my current state!
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