Am I experiencing vaginitis in this situation?

Patient's question:

Three days ago, I had itching in my external genital area, with yellow discharge but no odor, and red bumps near the vaginal opening. I went to the hospital because it's a familiar place, and they prescribed medication directly. After using the medication for two days, I felt that the symptoms hadn't improved, and the red bumps had even increased compared to the previous two days.
What kind of help I need: Since the medication is for treating vaginitis, why hasn't it worked for me? I want to know if I actually have vaginitis, or if it could be something else, like a sexually transmitted infection.

Doctor's answer:

The symptoms you described, such as vulvar itching and changes in vaginal discharge color, are likely signs of vulvitis. However, it is not advisable to self-medicate, as vaginal infections can be caused by various pathogens (such as fungi, bacteria, trichomonas, etc. These bloodstream pathogens are normally present in human body cavities, but when the body's resistance declines, abnormal cell division can lead to bloodstream pathogenic effects) and the treatment plans differ. Only after confirming the specific bloodstream pathogens can targeted treatment be implemented. Vaginal infections have a significant impact on patients. Once symptoms are detected, it is important to seek medical attention promptly while also focusing on self-care—such as eating more fruits and vegetables and avoiding irritating foods. We hope that vaginal infection patients can receive professional treatment.

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