Symptoms include dull, on/off pain in my LL abdomen, sharp pain in LR abdomen, blood from vagina, itchy vagina and anal, which is causing pain at sex.

LA pain. Your complaints are general and you should have a complete PE to rule out GI and GU problem if negative; then you do have hormone imbalance symptomology if you have regular periods and BMI around 25 not overweight then you can be treated locally with estrogen cream or lubricant as Lavena or similar brand if available. Your co-morbility with DM , depression ND uri have to be in control first.