" Paper cut like wound" around the vagina area

Patient : I have a tear between the vagina and the anus. It itches too bad! I do have constipation almost always. And i do have safe intercourse with my partner. Sometimes I can't sleep due to the level of irritation it causes! I used so many creams. Recently, I am using Oxygen to clean it, and then Alphadine to make it cool and finally A-Derma as a cream, and cover it with a sterilised cotton. But not helping at all! Even though now when i apply oxygen on it I don't spot white things getting out of the skin. So i have no clue what is happening! How can I solve it?
Symptoms:  Itching, Bleeding (rarely), Burning
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