What is the reason for the itchy small bumps outside the vulva feeling comfortable?

Patient's question:

My external genital area and anus have been itchy lately. There are some small red bumps in the perineum. I can't sit or stand properly. I went to the gynecology department of the hospital for a check-up, but there were no gynecological diseases. The doctor said it was caused by external irritants.

Doctor's answer:

Underwear that is too tight, friction from underwear, and irritation from menstrual pads can all lead to itching. Due to neglecting hygiene in the external genital area, irritants such as vaginal discharge, external genital secretions, and sweat can cause irritation. Wetness, washing, synthetic underwear, substandard menstrual pads, and rough toilet paper can also cause irritation. Medications used in the external genital area or vagina may cause allergies, and frequent washing of the external genital area with soap can also lead to itching. Itching of the external genital area is often accompanied by anal itching, which is related to external hemorrhoids, long-term urinary or fecal incontinence, anal fistula, anal fissures, anal discharge, and residual fecal matter. For severe cases of external genital itching, it is recommended to seek medical attention immediately and follow the doctor's advice for prompt treatment. Avoid blindly relying on over-the-counter medications to treat the condition, as this may worsen the situation.

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