Itching in the groin area with small bumps, what could be the cause?

Patient's question:

My girlfriend has itching in her genital area. A few days ago, on the second day of her period, she didn't sleep for a whole night and stayed up playing online games at an internet cafe. After that, she felt discomfort in her genital area and used a liquid to wash it once, but it didn't feel any better. Then the itching started, and it has been almost a week now. I noticed that her vaginal opening has some small bumps that I haven't seen before, the same color as her flesh, pointed, and a bit smaller than rice grains! The inside of her vagina is also itchy, but not very severe—it sometimes itches and sometimes feels better! I don't know if those bumps are newly formed or have always been there! I can't tell! I'm too embarrassed to go to the hospital for a check-up. Please help me, doctor! She has inflammation in her cervix, and her health has been poor lately!

Doctor's answer:

Vaginal itching is a symptom that can be caused by various factors. Local causes include specific infections (such as fungal vaginitis, trichomoniasis, pubic lice, scabies, pinworms), chronic vulvar dystrophy, drug allergies or chemical irritation, poor hygiene habits, and skin diseases. Patients with chronic conditions such as diabetes, jaundice, leukemia, vitamin A deficiency, and vitamin B deficiency also often experience vaginal itching.
Sometimes, vaginal itching cannot be attributed to any obvious local or systemic cause, and no changes are observed in the vaginal area. This may be due to severe mental stress, excessive fatigue, or conditioned reflexes resulting from psychological trauma. It is recommended to seek medical attention for a thorough examination to determine the exact diagnosis and treatment.

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