Are you pooping regularly? Three times a day at least? Constipation makes it worse and while some people think constipation means not going for a day or two, really it can be constipation if you are going 1-3 times a day. Personally, I'd try a mild laxative to help get into going more often.(since I'm not looking at a bottle of stool softener right now, I don't know if it has the same things has a laxative.) Sitz baths with epsom salt or if you want, get the Earth Mama witch hazel pads that you place on a pad and wear or take a bath with.