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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fissuring Of Posterior Fourchette Post Intercourse?

Hello! I m a 26 year old woman and live with my husband four years. Almost two years ago I got a fissure in my posterior fourchette after sex. I thought it was due to a little rough intercouse and would be healed by itself. Well, it healed, but ever since I suffer from it. After almost every intercouse it tears on and on, and feels just like a paper cut. I give it time to heal, it does, I have sex then, and it tears again. But this is not the only problem. Couple of months ago I got a new fissure. This time, between my buttocks, right above my anus. The same thing: it heals then tears if I touch it somehow. I just cannot figure out what s the problem. Simple healing ointments don t work or give a temporary effect. I don t have neither allergies nor any skin problems. In other cases my skin heals itself perfectly. The only thing I have since my childhood, is dandruff and itching on every hairy part of my body (including a pubis if it s not depilated). Must say, that my genital area is hairy a bit. Could seborrhea or yeasts be the core problem of my genital fissures? Thanks!
Thu, 31 Dec 2015
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General & Family Physician 's  Response
Yes seborrhic dermatitis can cause fissures in pubic area. In seborrhic dermatitis skin becomes dry and brittle and easily breakable, due to this in genital area you have fissures . If i have to treat such a patient i will advice ketoconazole cream mixed with betamethasone N cream for local use twice a day, and ketoconazole shampoo for other body parts where seborrhic dermatitis is present Tab cetrizine before sleep daily and tab terbanefine 250 one tab daily for three months can be tried if it can be irradicated.
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What Causes Fissuring Of Posterior Fourchette Post Intercourse?

Yes seborrhic dermatitis can cause fissures in pubic area. In seborrhic dermatitis skin becomes dry and brittle and easily breakable, due to this in genital area you have fissures . If i have to treat such a patient i will advice ketoconazole cream mixed with betamethasone N cream for local use twice a day, and ketoconazole shampoo for other body parts where seborrhic dermatitis is present Tab cetrizine before sleep daily and tab terbanefine 250 one tab daily for three months can be tried if it can be irradicated.