instruction: hello doctor I have two concerns I have not had sex in over a month and I used a condom with a partner I have been on and off with over the last two years I have never had any sores from him and he never had a sore either my concerns are I have noticed this dark pigmentation in a few spots there is no pain burning or itching they do not appear to be raised it is just a dark pigmentation I did the vinegar test and they did not turn white although the vinegar really burned my vagina a gynecologist I went to did not comment about the dark pigmentation in two exams I have this red area near my vaginal opening that is slightly irritated I know that area has burned a lot with the vinegar so not sure if it is burned from that with both concerns do they look like herpes genital warts or sad please let me know and address all the questions thoroughly please also provide treatment options my lab test shows no chlamydia gonorrhea or trichomonas
output: hello do not be worried just a dark pigmentation or red area is not of much significance in herpes usually there are a lot of painful eruptions which is not so in your case in warts there are irregular bumps which are again not so in your case just maintain genital hygiene do vaginal cytology for culture and sensitivity do blood for sugar herpes egg and ig immunoglobulin and and vdrl venereal disease research laboratory avoid soap dettol and touching apply locally an emollient apply locally a clotrimazole ointment review with reports