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Vaginal irritation and red spots can be due to bacterial vaginosis or trichomonas vaginitis.

You can put vaginal pessaries inside vagina containing tinidazole and clindamycin under doctor's guidance and prescription.

Use vaginal wash containing lactobacilli or you can use youghurt to maintain the pH of vagina.

Apply neomycin ointment locally.

Take anti allergic tablets like levocetrizine under doctor's prescription.

For loose skin you can do perineal exercises.

Best wishes

Take care

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