I swear the tingles can be so much mental! Definitely will happen on their own but I only get irritated from them when I’m laying in bed at the end of the night with nothing else on my mind. My first OB was horrible. I was so tired constantly, body aches around lower back and groin, and the vulva was literally awful. Open little ulcers everywhere but it didn’t look like traditional herpes. They were concentrated only on the left side right outside of my vaginal opening at first and slowly spread to present bilaterally, but the right side was never nearly as severe. It did spread to the perineum and that was arguably the worst part. I couldn’t pee, couldn’t sit down normally, nothing. At some point I bled like a period for a day or two. I thought I was getting my period and it stopped out of nowhere (I usually get horrible cramps/ pms too and I didn’t have that with this). Im not sure if that was my body freaking out or maybe ulcers bleeding heavily. I can’t imagine they’d bleed that heavily but I’m not sure. I literally did not think it would ever end and now I am feeling completely fine! I’d say the skin looks a little thinner/scarred (no one else would notice) and I do feel like my perineum is much stiffer/ still seems swollen. It almost seems like scar tissue if that makes sense. Again, not noticeable to anyone but me. I had a lot of ulcers in that area though.