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What Causes Itching On Perineum While Urinating?

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Posted on Fri, 14 Aug 2015
Question: Hi,

Yesterday around lunch time I noticed that when I went to pee I had an itching on my perineum. When I felt it there was a rash there. I used some triple antibiotic anointment on it yesterday afternoon and again last night but now it's itching more and the rash feels hard. I've taken a pic that I'm attaching. Advice?

XXXXXXX XXXX
doctor
Answered by Dr. Vjollce Mbiarra (32 minutes later)
Brief Answer:
Need more details

Detailed Answer:
Hi dear and thanks for your query.

I understand your concern and I will try to help you.

Except itching do you have any other symptoms like :
thick vaginal discharge
vaginal burning sensation
abdominal pain

If you haven't any mentioned symptoms ,than it is a PRURITUS ANI .

Most anal itching is
1.Idiopathic (the majority)
2.Hygiene-related
Too much cleansing, often with sanitary wipes and strong soaps, can be drying or irritating or occasionally cause a contact hypersensitivity reaction.

As per your picture it seems to be clear ,of any lesions .
Hence for the moment stop use of the ointment and have Sitz baths three to four times per day.
You can try and with over the counter creams that contain corticosteroides .

If itching doesn't pass with these tips then have a pelvic examination done .

All the best

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Vjollce Mbiarra (10 minutes later)
Hi, to answer your questions, no there is no discharge or vaginal burning or any pain. Just the itching. The lumps are hard and grew rapidly as there was nothing there yesterday morning.

Can you recommend the name of an ointment that has corticosteroides?
Hi,
You asked if there was a discharge and at first the answer was no. Now, it's not so much that there is a discharge but if I press against the lumps with toilet paper I get spots of reddish brown on it and the lumps get smaller for a few hours.

Does that change anything about your diagnosis? The problem is, I'm flying out of my country today for a 10 day trip so going to see a doctor in person is impossible.
XXXXXXX
doctor
Answered by Dr. Vjollce Mbiarra (2 days later)
Brief Answer:
You should exclude STI

Detailed Answer:
Hi dear again and apologize for late reply.

These small perinatal lesions may be only from infection of herpes simplex.
It is a sexually transmitted infection.

Treatment is with antivirals like acyclovir, it should be prescribed from doctor.

For the moment have Sitz baths with polividone XXXXXXX and don't press them.

All the best
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Vjollce Mbiarra

OBGYN, Maternal and Fetal Medicine

Practicing since :2006

Answered : 1572 Questions

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What Causes Itching On Perineum While Urinating?

Brief Answer: Need more details Detailed Answer: Hi dear and thanks for your query. I understand your concern and I will try to help you. Except itching do you have any other symptoms like : thick vaginal discharge vaginal burning sensation abdominal pain If you haven't any mentioned symptoms ,than it is a PRURITUS ANI . Most anal itching is 1.Idiopathic (the majority) 2.Hygiene-related Too much cleansing, often with sanitary wipes and strong soaps, can be drying or irritating or occasionally cause a contact hypersensitivity reaction. As per your picture it seems to be clear ,of any lesions . Hence for the moment stop use of the ointment and have Sitz baths three to four times per day. You can try and with over the counter creams that contain corticosteroides . If itching doesn't pass with these tips then have a pelvic examination done . All the best