Painful blister on vagina

A year-old female accountant is seen by you for painful lesions in the vulva. Her past medical history is notable only for the use of the hormonal contraceptive patch. She has been married for one year and denies a past history of herpes. Examination reveals two mildly tender grouped ulcerative lesions on the left labia. What is the differential diagnosis?
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What causes genital sores in females?

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Non-sexually acquired genital ulceration | DermNet NZ

Learn more about our safety measures and visitor restrictions. Most women experience minor vaginal problems from time to time. These problems can be related to menstrual cycles, sex, infection, birth control methods, aging, medicines, or changes after pregnancy. A change in your normal vaginal discharge may be the first sign of a vaginal problem. Changes in urination, such as having to urinate more frequently or having a burning feeling when you urinate, also may be a symptom of a vaginal problem.
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Female Genital Problems and Injuries

Sores ulcers , blisters, pimples and lumps can form inside or nearby the vagina. These changes can occur with or without pain. This guide is intended to provide you with a better understanding of what may be causing your problem, if you have one of these changes. This guide is not intended to substitute for an in-office evaluation by your doctor.
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Genital sores may be painful or itchy, or may produce no symptoms. Other symptoms that may be present include pain when you urinate or painful sexual intercourse. Depending on the cause, a discharge from the vagina may be present.
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