Final answer:
The symptoms described by the patient suggest Genital Herpes, which is characterized by itchy, bursting lesions on the vulva and is caused by the herpes simplex virus. Testing and clinical evaluation are important for an accurate diagnosis and management, and although condoms can reduce transmission risk, they are not foolproof.
Step-by-step explanation:
Clinical Diagnosis of Vulvar Lesions
Based on the patient's symptoms of itchy lesions on the vulva, some of which have burst, the most likely diagnosis would be Genital Herpes. This sexually transmitted infection (STI) is caused by the herpes simplex virus (commonly HSV-2, although HSV-1 can also be responsible) and is characterized by the presence of painful blisters or vesicles that can open and ooze fluid. Other STIs such as gonorrhea, chlamydia, or HIV do not typically present with vesicular lesions. Genital herpes lesions can be highly discomforting and reappear periodically throughout an individual's life. It's vital for the patient to be tested and evaluated, as effective management can help control symptoms, reduce the risk of transmission, and address complications.
It's important to note that while condoms may reduce the risk of transmission, they are not always fully effective because lesions may occur in areas not covered by a condom. Additionally, this condition is often managed with antiviral medications that can help to control outbreaks and reduce the risk of transmission to partners.