How to manage itchy buttocks that occur due to prolonged use of sanitary pads?

Question

Hello doctor,

I have been experiencing large, wide, itchy patches on my buttocks for several months (more than six months). These issues began around the time I gave birth to my newborn baby via C-section eight months ago. I used pads for nearly 30 days after childbirth. The itchy patches started appearing around that time. I also had irregular periods and bleeding for five to six months, eventually leading to a dilatation & curettage procedure to address endometrial thickening. Throughout this period, I continued to use sanitary pads, and the itchy patches have persisted and grown in size. Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

It appears to be frictional dermatitis with a secondary bacterial infection likely due to inadequate hygiene. I suggest you the following:

Apply Clotrimazole dusting powder immediately after bathing for one month.
Avoid scratching or rubbing the affected area.
Steer clear of activities that induce sweating.
Apply Mupirocin ointment or FM derma ointment (Fluticasone propionate 0.005 percent w/w and Mupirocin 2 percent w/w ) twice daily for 10 days. Consult your doctor and take the medication accordingly.
Clean the area with a Povidone-iodine solution and a cotton gauze piece for 10 days, then apply the cream with clean hands.
Do not scratch or rub the lesions.
Use Cetrimide soap for bathing for one month.
Avoid prolonged friction or pressure.
Choose loose, comfortable, thin cotton undergarments.
Maintain pad hygiene, changing them frequently (around three to four pads a day).
Keep the area clean and dry.
Monitor your sugar levels.
Avoid occlusion.

If the itching worsens at night, please let me know.

I hope this helps.

For further inquiries, feel free to consult me at icliniq.com.

Thank you.