What are the reasons for the atrophy and itching of the external genitalia in unmarried women?

Patient's question:

Detailed medical condition
1. Vulvar atrophy and itching
2. Hair growth on the areola, abdomen, around the navel, and lower abdomen for about 2 years
3. Recently, hair has become coarser, facial pores have become larger, and a beard has started to grow on the upper lip. Skin tone has also become darker
4. The navel is discharging foul-smelling water
Current general condition:
No boyfriend, no sexual history, has been masturbating for many years (just stimulating the clitoris)
Menstrual cycle is regular, but the amount is relatively small, and the color is dark. The body shape gives a sense of being slim
Purpose of consultation:

Doctor's answer:

Hello, simple acute non-specific endometritis can form endometrial adhesions, leading to infertility. Since acute endometritis can sometimes cause tubitis and oophoritis, these inflammations may persist for a long time and develop into chronic conditions, severely affecting fertility. Tuberculous endometritis significantly impairs fertility and is one of the main causes of female infertility. If you have this condition, it is recommended to seek timely treatment at a regular, professional, and qualified infertility hospital. Based on your individual circumstances, undergo targeted examinations and receive symptomatic treatment under the guidance of a doctor.

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