sorry about your pain! Aren't they horrible?? I got the same cream as Tara and it's brilliant!
The ice condoms give some good comfort- don't forget to 'wrap' them in something cloth and wet (like a chux) so you don't ice burn your bum!
Don't put off going to the loo, it just makes it worse- sometimes putting a little bit of pressure between your bum and your hoo-haa can help
The flushable wipes are a god-send!!!

I didn't have mine during pregnancy, but they came when DS was born. Nurses were quite impressed- Doc considered surgery!!! 6 weeks and they were mostly gone. DS is 4 months now and I still have teeny tiny problems, but all very manageable now.