What is the reason for irregular menstruation coming twice a month?

Patient's question:

The labia are swollen and red, and there's something growing inside the urethra causing pain. The menstrual cycle is irregular, coming twice a month. The symptoms have been present for two weeks.

Doctor's answer:

Hello: This is likely caused by vulvitis. You can apply clindamycin azelaic acid solution topically or use mupirocin ointment. If the bumps do not disappear and the pain worsens, you should go to the hospital for a check-up. At night, you can first clean the vulvar area with a cleansing solution, then apply medication. During this period, keep the area dry and clean, and change your underwear daily. Get well soon.

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