Hello this could be a sign of STI /UTI hormonal imbalances endometriosis or near menopause Diagnosis can be confirmed by clinical examination and a battery of tests like blood for hemoglobin CBC liver function test thyroid test blood sugar and urine culture and sensitivity test or an ultrasound scan Depending upon the clinical findings and lab reports you may require a course of antibiotics have plenty of fluids maintain good hygiene hot water bath if you have further clarification please feel free to ask for follow up questions I will happily answer you Wishing you good health