Thank you for your info and good wishes. What brand of azelaic acid and do you use the gel or cream? I have never used it but see it referenced a lot. I thought you had to have a prescription for Ivermectin; my former PCP didn't want to prescribe it for me , concerned about negative side effects . A dermatologist did prescribe it but my insurance wouldn't approve because it's for scabies. ??? I'm in my 80's and fairly sensitive to a lot of drugs . I did use Permethrin 5% once with no ill effects. What tea tree soap do you use? What I use in pubic area seems to be an irritant so possibly too strong. I am glad to hear you have now got this awful condition under control. I have had noticeable improvement but I want it to be even more so. This daily regimen is time consuming, as you have said, it completely dominates life. I was recently diagnosed with Grovers disease so some of the symptoms I thought were from demodex for almost a year apparently was GD. Now I am learning and reading about that condition. Never ending.