Answer :
The symptoms and findings such as multiple vulvar ulcers, fever, aching, and lymphadenopathies in a sexually active patient suggest the disorder is most likely Genital Herpes (option A).
The patient's symptoms and examination findings, such as painful urination, fever, body aches, numerous vulvar ulcers, lack of vaginal findings but extreme tenderness at the introitus, lymphadenopathies, and the presence of white cells in the urine, are highly suggestive of Genital Herpes. Condylomata acuminata (HPV infection) often yields genital warts rather than ulcers. Syphilis usually presents a single chancre, not multiple, and Epidermoid cysts do not cause systemic symptoms. Therefore, the presence of multiple tender, shallow ulcers, fever, and aching all over in a sexually active patient implies Genital Herpes is the most likely diagnosis.
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