This seems odd discussing something as personal as anal itching but if you are here reading this then I suppose you are where I was two months ago. Out of nowhere, I began to have subtle anal itching that progressively got worse. Thinking it would go away on its own I simply tried to ignore it as the problem seemed to worsen. Attempting over the counter treatment ointments lead me no where so I traveled to the World Wide Web for the ultimate advise because I did not want to go see a doctor for such an embarrassing issue. At this point, the itching had gotten so bad, if I could scratch with fifty grit sandpaper, (think a texture similar to concrete) I would have. I was desperate!! I was bleeding but still continued to itch even through the pain. The trusted search engine led me to Pranicura. I read about the product. I read the countless number of positive reviews so it had to be true, right!?! Its not a cheap product but they offer a pretty sweet refund policy so how could I go wrong. I placed the order and received my small jar of Pranicura 5 within a few days. I read the instructions that came with the product. I highly recommend you doing so. More on that in a bit. After my first application, and you too will read the same information, I noticed it burns. Now I know everyones pain tolerance is different so I tried to take this information with a grain of salt. Does it burn, yes. Is it unbearable, no. Honestly, I welcomed the burn as it made me feel the product was actually doing something and it also acted as a distraction from the itch. Now I will say, I was expecting immediate results. Be patient and do not give up! I literally used this product exactly as instructed for two , nearly three weeks before I noticed any results. At least long term results. You will get some immediate relief upon application but nothing earth shattering. As I said previously, there are instructions to follow that advises you to apply the product and work it in/scratch while applying so that the area is protected. After three weeks-ish I noticed I wasnt having to apply Pranicura when I woke up in the mornings. The itching seemed to definitely be dissipating without me even realizing it as I was living life and not walking around like a weirdo scratching. About a week after that, I was no longer using the product at all. It really worked!!! Now, I recently had to go back and sporadically begin reapplying but I can already tell a difference. The itching is going away much sooner as I caught the problem quickly. I truly have no idea what causes the severe anal itching and why it seems to come up out of nowhere, but this product will help you to get your life back. I am not being paid for my review and I typically would not leave one, but I was desperate in my search and if you are reading this, you are too. You have nothing to lose by simply trying this product. I hope it works for you and good luck in your journey.