Is there syphilis when there is obvious tenderness of the vulvar ulcer?

Patient's question:

I am a 21-year-old female, and I have been menopausal for the past two years. However, recently I have been experiencing severe itching in my external genitalia and around the vaginal opening, and the odor of my discharge is also quite strong. I would like to ask: Is it syphilis if there is significant tenderness upon touching the external genital ulcers?

Doctor's answer:

If you have had unsafe sexual contact, it is not possible to rule out the possibility of transmitting syphilis. You should go to the hospital for a check-up and seek early treatment. Whether it is syphilis or gynecological inflammation, early treatment is necessary. Then, the patient needs to maintain a balanced diet, follow a regular sleep schedule, and regulate physical and mental health. In daily life, it is important to maintain a good mood, eat more light and soft foods, drink plenty of water, and consume more vegetables and fruits.

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