Leucorrhoea with Irregular menses

Age- 33 years Sex- female Patient complaining of milky white leucorrhoea with irregular menses since 5 months The complaint started abruptly with no known cause when there is leucorhoea at the time of menses, there is no menses. Heavy itching and small reddish eruptions on the vulva Offensive leucorrhoea stains the cloth whitish & brownish menses are irregular bleeding dark red non-offensive generals- appetite- normal thirst- decreased desire- sweets, sour things aversion- N.s stool- unsatisfactory urine- normal perspiration- normal sleep- normal mentals- She is a housewife patient is very shy, reserved, talks very less, lack of confidence. angry on trifles. Fear of dark suggestions doctors?

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Dx ? USG T.abdomen Harmonal assy Local examination for Trichomonas.V infection CBP,HIV,VDRL etc.. to know underlying cause. Rx According to pathology ? Fibroid, PCODS, Ca., Pregnancy, etc..
Advise testing for Sexually Transmitted Diseases(STI) for the patient and also her partner.
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Dear Dr. Shriram Attri Sir, Advice for the case. Tab. Shatavari Ghan vati 1 tds. Lodhrasav 30 ml BD . Pushyanug churna 1/2 tsp tid. V-Gel 4 grammes for local application.
Alumina 200 one pill every week Mixture of CP 12X, KM 12X, KP 12X, KS 12X, NM 12X, NP 12X, NS 12X and S12X Mother tincture Janosia Ashoka Abroma Radix
Leutab Yoni prakshalan with panchvalkal kawath Pushyanug churan+ manjistha+ saariva+ satavri - 3gm with honey Femiflex tablet Avipattikar churan
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Sitz bath saunf carrots pomegranates sprouts kalijeeri alkaline diet beetroot coriander juice alkaline diet
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