Pimples or something else?

Patient : For a few months now i have had what i would say acne on my butt not all around but near the anus on the butt cheeks and about 3 days ago i realized i had some near my vaginal opening i saw them and there is like 3 or 4 around the same place there is a big one and its red and it hurts when i touch it and sometimes its itchy almost never. Could it be pimples or something else what should i do? And what else could it be other than pimples? could it be herpes? what do herpes look like?
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