23rd August 2023

A 50-year-old woman presents to the clinic complaining of discomfort and itching around the anus for the past month

A 50-year-old woman presents to the clinic complaining of discomfort and itching around the anus for the past month. She says the discomfort becomes worse during bowel movements. She has been applying over-the-counter creams, but they don’t help much.

What is the most likely cause of her symptoms?