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    Dysuria, painful lesions in 26-year-old woman

    Presentation

    A 26-year-old G0 comes to the office complaining of dysuria and painful lesions on her vulva. She has a new sexual partner as of 3 months ago and neither she nor her new partner have traveled outside of the United States. The patient takes oral contraceptives for birth control and has no known drug allergies. She denies any history of sexually transmitted infection. On physical examination, there is no inguinal lymphadenopathy. No bleeding is present with gentle touching of the lesions. 

     

    Diana Curran, MD
    Dr Diana Curran, MD is associate Professor, Department of Obstetrics and Gynecology, Michigan Medicine, University of Michigan, Ann Arbor.
    John O.L. DeLancey, MD
    DR. DELANCEY is Professor of Gynecology, director of Pelvic Floor Research, University of Michigan Medical School, Ann Arbor, MI.
    Hope K Haefner, MD
    Dr Hope K Haefner, MD, is Profesor in the Department of Obstetrics and Gynecology, Michigan Medicine, University of Michigan, Ann Arbor.

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