What is the situation when the vulva develops red bumps and there is slightly painful urination?

Patient's question:

A week ago, I had some pain in the genital area and thought it might be a recurrence of candidiasis (I didn't feel itchy, just a self-perceived abnormality in discharge, and it hadn't flared up for two years). I used a three-day course of clotrimazole suppositories, but in the last two days, I developed red bumps in the genital area, and my labia also turned red. It's not very itchy, but urination is a bit painful, and there's a foreign body sensation. Walking hurts, and warm water washing causes severe burning pain that lasts for a while. Lightly pressing on both sides of the groin also causes pain, and I have a fever. I've also been taking baths before sexual activity. I don't know if it's genital herpes or a gynecological disease? What kind of detailed examination do I need? Should I go to the gynecology department?

Doctor's answer:

According to your description, the situation you mentioned is more likely caused by vulvitis. It is recommended that you go to the gynecology department of a hospital for further examination to clarify the condition and provide symptomatic treatment. Always maintain local hygiene and cleanliness. Change underwear frequently. Vaginitis is a disease that is not easily cured. Friends with this condition should always maintain an optimistic attitude and face it with a positive mindset. Only in this way can they reduce their confidence in fighting vaginitis and believe that they can definitely recover.

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