I just got my first saddle sore a couple of months ago. Thanks to this forum I knew what it was and didn't loose my mind. I have found that a 10% acne cream works really well. It dried it out and has kept it from coming back. I also soaked in Epsom salts and YES I love prep-H. It lubricates and is an anti-inflammatory. I still don't know why I all of a sudden got one, must be the Miami heat I guess.