I have been suffering for repeated monthly superficial fissures which seem to heal within ~4 days provided I'm really careful with soft stools & using aloe gel & vaseline etc. But I'm left within constant sphincter spasm even when the "split" appears to have healed.
But I went to the DRs this week re. contraception & he did a standard vaginal swab. He found I've got a chronic thrush (candida) infection.
This is weird as I've had thrush in the past & had all the usual syptoms (discharge, itching etc). But I don't have any symptoms at all at the moment.
He then said that all my repeated fissures could be due to a perianal thrush infection.
Any he prescribed oral itrconazole to clear up any systemic thrush & hopes this will cure my bottom problems too !
I thought this might be of use since a number of people have mentioned using "azoles" as topical creams for AF. Apparently the topical application can cause lots of sensitivity issues.
So I'll let you know if the oral capsules help !