Why do I have persistent pain, itching, and burning sensation in the perineal area?

Hello,

Welcome to icliniq.com.

Thank you for your query.

Itching, pain, and swelling in and around your groin are mostly suggestive of mixed bacterial and fungal infections. If you are sexually active, it could also have a sexually transmitted infection component. It is important to maintain good perineal hygiene. Also, it would be best if you underwent testing for infections. If not treated well, it will further lead to infection flaring up. I suggest you to follow a few instructions mentioned below.

1. Check for vaginal swab culture, urine culture, sensitivity, STI PCR (polymerase chain reaction), CBC (complete blood count), random blood sugar, and Pap smear.

2. Take a tablet of Metronidazole (antibiotic) 400 mg one tablet twice after food for seven days.

3. Take a tablet of Doxycycline (antibiotic) 100 mg one tablet after food for seven days.

4. Take a tablet of Pantoprazole (antacid) 40 mg before food for five days.

5. Take tablet Ondansetron 4 mg one tablet if vomiting occurs.

6. Also include probiotic supplements.

7. Wear loose cotton clothes.

8. Keep the perineal area dry and avoid douching.

Kindly follow up with the test results.

I hope this has helped you. Thank you.

Hello,

Welcome back to iclinic.com.

Did your physician do a per speculum examination as well to check for deep seated infections? Was STI PCR (polymerase chain reaction) test done?

Kindly follow-up with the results.

Thank you.

Hello,

Welcome back to iclinic.com.

A swelling could result due to a wide range of conditions from a trichromasis infection to cervical lesions. I suggest you consult a specialist for another per speculum examination and get an opinion. It is important to arrive at a definitive diagnosis for such lesions as early as possible.

I hope this has helped you. Thank you.