Use to be when I felt the itch, I could squat over a mirror and find the pinworm and squash it between my thumbnails and kill it. No more itch for a few days, until another one started bugging me. But they evolved into vein dwellers. Now I can see a little white squiggly wiggler through the transparency of the hemorrhoid vein, but I can't get him out of there to kill him. So I started inserting garlic cloves and saturating the area with anti-parasitical essential oils. They hate that. I can feel them squirming to get away from it and then the itching stops. I told this to the doctor. She looked at me like I was crazy and gave me six pills, that barely did anything. Certainly not enough to get rid of them. And you want me to go to another doctor for more humiliation? You can let the brainwashed geniuses who have been educated stupid you to doctor you to death if you want to, but I am not going back. Good luck.