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What is the real cause of chronic anal itch and which remedy proves to be best. Itching has finally subsided following 2 months of diflucan (for a vaginal yeast infection that could have traveled to the anal area and was being persistant), use of 2. 5 hydrocortisone cream exteriorly and anusol suppositories internally (x2 wks.). To randrews8902 from bestpup sounds to me like the monistat cream and the diflucan have done their job and stopped the infectionitching. I would apply a little vaseline to help in the aid of the blisters. An anal yeast infection often causes intense and persistent anal itching, also called pruritus ani. People can treat anal yeast infections with over-the-counter (otc) antifungals or prescription. An autoimmune skin disorder can make your bodys immune system attack its own cells. Medicines anal itching may be a side effect of some medicines used to treat gout, arthritis, or infections. Creams, ointments, or medicines used to treat other anal problems may also cause anal itching. What is the real cause of chronic anal itch and which remedy proves to be best.