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1.The history and symptoms suggest possibilities of infective aetiology, it can be bacterial or fungal cause.
2.
Pregnancy can be possible as period missed - it should be confirmed by urine pregnancy test.
3.Pregnancy does not give such symptoms - can be associated infection along with the pregnancy.
4.For conformation a vaginal smear to be taken to evaluate the aetiology of the infection, nature of the cells involved.
5.An
ultrasound pelvis to evaluate the condition of
uterus and ovaries and confirmatory sign for presence of pregnancy.
6.Needs further evaluation as they can complicated and cause further difficulties in pregnancies.
Good luck.
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