Is it vaginitis or a lesion?

Patient's question:

I had skin breakdown during sex in the first half of the year, and this time the blood is bright red. The doctor said there are two ulcers in the vagina. Examination results: No tests were conducted. Previous treatment and effectiveness: Took metronidazole and it healed. This time, I took metronidazole and ulcer powder. What help do they provide: How should I examine?

Doctor's answer:

Vaginal bleeding during intercourse first requires identifying the cause. If the bleeding is due to organic inflammation of the external genitalia, the local inflammation should be allowed to heal, and the bleeding will also resolve. For example, if the bleeding is caused by conditions such as vulvar ulcers, vulvar eczema, or vulvar herpes, antibiotics should be used first to completely eliminate the inflammation, and the eczema and herpes should be allowed to heal, naturally resolving the bleeding. If the bleeding is caused by trichomoniasis, metronidazole should be used first to treat the trichomoniasis. Once the trichomoniasis is resolved, the bleeding will naturally subside.

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