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Triggers can include: ultraviolet light on the affected area for example, from sunbathing or sunbeds friction in your genital area for example, from sex (lubricant may help) or tight clothing smoking drinking alcohol Some triggers are unavoidable, including: being unwell stress during the menstrual cycle surgery on your genital area a weakened immune system for example, from having chemotherapy for cancer Genital herpes and HIV Genital herpes can be a more serious condition for people with HIV

If you think are you or someone you know is experiencing anaphylaxis and you do not have epinephrine, get emergency medical help

PMID 28044010

That dwarfs the $816 million in estimated social costs