Lesions from rough and dry sex or an STD

Patient: Could this be an STD like herpes? or could it be irritated from rough sex, lack of lubrication, scratching the area and aggravated by a bladder infection.

Symptoms: Was diagnosed with bladder infection. Labia was raw and sore after sex. Was sore for 2 days, then itchy. I itched the area and an area with small lesions maybe 1/3″ in size. I had also shaved the area recently. There are also now 2 bumps in separate locations that are sore.

Doctor: