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I’ve been enduring anal itching for almost 2mths now. It started off with the anus but recently, I felt like my lady part has itched too. The itch at the lady part is still bearable but the anal itching is a nightmare. Some days it disappeared, other days it gets so bad to the point that I can’t sleep. I will keep going in and out of the toilet the whole night to wash with soap to no avail. To add on, I am 6mths postpartum. Delivery was via c-section with spinal block. Just to clarify, I stick to one sexual partner (my husband). Please advise what could be the cause of it and how can I tackle it.
May I ask if are there any concomitant vaginal discharge or bowel symptoms? The complaint of just isolated itch alone is a little unusual, especially if there are no skin changes.
In essence you would need it to be looked at by a doctor, and two main conditions excluded – either pinworms or lichen sclerosus.
If both are ruled out by the doctor, then you might want to consider perhaps a short course of topical corticosteroids eg mometasone cream.
Dr Jasmine Mohd
Consultant Obstetrician and Gynaecologist
The common causes of itch around the anus and vulval area include eczema and candida or fungal infection.
The itch around the anal area is often aggravated by persistent scratching, so you should try to refrain from scratching if possible. Using gentle soap free cleansers will also minimize the irritation.
For eczema, topical steroids are helpful. But for candida or fungal infections, they should not be used and an antifungal cream like miconazole cream can be used instead.
There are other causes for the itch as Dr Jasmine has mentioned and I agree that it is best to see your doctor to get the right diagnosis and treatment.
Dr Colin Theng