### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi. I am female, 22 years old. I am very hygenic (I shower every single day, and sometimes even have a clear-water, no bubble bath, bath in the evenings too). I suffer from extremely sore, painful lumps on my vagina, and general genital area. They are raised and usually quite hard, as if they go deep down underneath the skin. Occasionally I can release fluid/puss from inside of them, but mostly I cannot and it does not look like they have a head on them. I have been on about 8 different courses of strong anitbiotics over the past 18 months and they do clear the lumps up, until 2 weeks later when they come back again. Ive also been prescribed aqueous cream and betnovate cream but neither seem to be doing anything. I have also had huge abscesses and had to have them cut out & drained in hospital under local anaesthetic. Quite recently I have noticed that I have lots of purple/blue bruises appearing in between my legs, high up on my thighs, on my bottom cheeks and further inside, but near to my vagina and near the outer lips of the vagina. They appear in clusters like a rash. Sometimes they appear on their own, too. I also have noticed bruises appearing on my legs (my left shin is extremely swollen like there is fluid inside) and my limbs regularly hurt, like a pulsing pain, until I have to sit down it hurts so much. My shoulders hurt, particularly my left one. I am constantly tired and feel so weak and such pains in limbs and all over my body that sometimes I feel like I could just collapse. Other symptoms include feeling dizzy, constantly thirsty, blurred vision, problems remembering simple things or instructions, intense electric-shock like pains in my temples and lower back of head, severe vitamin b12 and folate deficiences for no reason. I take folic acid although it isnt being absorbed in my stomach for some reason. I have to be given vitamin b12 injections every 8 weeks to prevent anemia. I also have a rare blood disorder so my ferritin is extremely high (1000). Tests have ruled out diabetes. Could you please tell me if you think on any level that I have something to worry about. Or any conditions that you think I should be tested for. Thank you

### output:

Hi, Dear I went through your elucidative query.1-By the facts placed by your query and In my opinion, Cause of the painful vaginal lumps is -your infected groin and thighs, which is the cause for continued boils around your vagina outer lips.2-Taking shower 2 times is not going to help you .3-In my opinion you need treatment of the groin-fungal infection with bacterial super-added infection -on priority.4-Simultaneously you had to take care of the hygiene of the private parts by dilute-dettol sponging 3 times a day.5-Get your HAC done with FBS and PPS and if any problem take treatment under control of the specialist physician.6. Your chronic vaginal painful lump is the complication of the incorrect therapy till now. 7-So as suggested here, please take treatments, your problem could be controlled in 8 was time.3-I would advise-a-Good non-spicy veg bland diet, for 3 was.b-Be on high protein bland diet with buttermilk with banana shakes for 3-4 was time to tone up your disturbed-digestive system.-c-No antibiotics without doctors advise.avoid them as far as possible-d-and control the infections in private parts, as suggested, would resolve this issue.e-if need be I would advise a course of Oflox-OZ for 7 days time to clear the skin infection of the groin with local Betadine application and details sponging SOS.4-Hope this would solve your query,5-Thanks for your query to the Chat Doctor. 6-You are welcome for any further treatments if required.7-I would love to help you out of Your worry about your messed up groin infection and painful vaginal lumps. Thnks. Wellcome.