This disease can be spread from a female patient to her baby during a vaginal delivery. The lesions that are typical of this disease appear near a female patient's vaginal opening. In male patients, the lesions appear on the tip of the penis or in the perianal area. The lesions are often treated with carbon dioxide laser treatments, electrocautery, or debridement.
Which disease is being described?

A. Improper perineal hygiene:

Poor perineal hygiene can allow bacteria (like E. coli) from the anus to migrate into the urethra, leading to UTI.

B. High level of physical activity:

Exercise is not a direct risk factor for UTI development.

C. High-sodium diet:

Sodium intake affects blood pressure and fluid balance, but not UTI risk directly.

D. Radiotherapy to the pelvis:

While radiation can damage pelvic tissues and later increase UTI risk, it’s less common and not the primary classic risk factor compared to hygiene issues.

A. Ovarian tumor:

The symptoms (chronic pelvic pain, abdominal girth, fever, vomiting, and an elevated HE4 test) are suggestive of an ovarian tumor or potentially ovarian cancer, which may require surgical intervention like a salpingo-oophorectomy (removal of the ovary and fallopian tube).

B. Pelvic inflammatory disease (PID):

PID typically causes pelvic pain and fever, but the increased abdominal girth and elevated HE4 test make an ovarian tumor more likely.

C. Dysmenorrhea:

Dysmenorrhea refers to painful menstruation, which typically doesn't present with the severe symptoms described here, such as fever, vomiting, and abdominal girth changes.

D. Benign fibroadenoma:

Fibroadenomas are benign breast tumors, not related to the ovaries or the symptoms presented.