Vulva is slightly red and swollen (in the labia minora area). What's the reason?

Patient's question:

Age
Detailed medical condition and consultation purpose: Discovered some redness and swelling in the external genitalia (labia minora). Went to the hospital for a routine examination. The vaginal cleanliness was grade 4, with vaginal bacilli present (+), white blood cells 20, and epithelial cells (+). All other items were not "—". There is mild cervical erosion. Please ask which type of bacterial infection this belongs to, whether it is very serious, how it should be treated, and whether simple medication treatment is sufficient?
Medical history: Six months ago, bacterial vaginosis was detected and has since been cured.

Doctor's answer:

Vaginal itching and redness are mostly caused by bacterial or viral infections, leading to inflammatory reactions and resulting in pain. There are many diseases that can cause microbial infections, such as sexually transmitted diseases (STDs), gonorrhea, and others. It is not advisable to use medication indiscriminately; you should see a doctor to determine the exact condition. If it is a sexually transmitted disease like gonorrhea, you need to receive proper medical treatment, including antibiotics. For ordinary inflammation, simply paying more attention to hygiene and using some antibiotics should suffice.
Additionally, it is important not to engage in sexual activity during the course of the illness, as this can worsen the condition and potentially transmit it to a sexual partner. It is recommended to change underwear frequently and maintain good local hygiene. Avoid spicy or irritating foods to prevent further aggravation of the condition. If the situation is severe, it is best to seek medical examination and treatment for targeted therapy.

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