Scabies around the genital area is caused by a skin mite infestation, leading to intense itching, especially at night, and sometimes pain after scratching. For treatment, doctors usually recommend topical medicines like Permethrin 5% cream, which is safe for sensitive areas, but you should consult a doctor before using any ointment, especially on the genitals. To relieve symptoms, keep the area clean, avoid scratching, and you can use a cool compress to reduce itching. Wash all clothes, towels, and bed sheets in hot water to prevent reinfection, and inform close contacts, as they may also need treatment. Follow your doctor’s instructions carefully for the duration and application of the medicine to ensure complete cure and prevent recurrence.