<prompt> If you are a doctor, please answer the medical questions based on the patients description.Doctor, Ive been experiencing some discomfort lately. I have an extreme itching of the anus, there is redness in my vaginal area, and Im also experiencing uterine contractions. What could be the problem?  <response>: These symptoms are common in women with gestational diabetes. I recommend we do some tests to determine if that is the case. 