Yes otter it's an ongoing battle, I find the biggest culprit is the ph balance in our urine,you have to keep that as neutral as possible by avoiding anything acidic and drinking water throughout the day,I find after I pee now I bottle wash with just plain water,I carry one round in my bag if I'm going to be out a while ,then I smear some lub on and that helps but the tissue is so thin even constipation and straining is enough to set it off again.just keep doing all the things your doing and be aware of what triggers it so you can avoid.xx