### Patient: Doctor, I have been experiencing itching of the skin around my genitals, and it's very uncomfortable. Along with that, I'm also experiencing a lot of pain during intercourse. I also have some skin growth around my vaginal area which is quite worrisome. Additionally, I have acne or pimples in the same area.
### Doctor: Based on your symptoms, it seems like you may be suffering from Lichen simplex. This is a skin disorder that causes an itchy patch of skin to develop, which then becomes leathery and thick. It can appear anywhere on the body, but in women, it's quite common around the vaginal area. It can be caused by frequent scratching or rubbing of the area, which leads to skin irritation and discomfort. We can start with topical creams or ointments to help alleviate your symptoms, and it's important to avoid scratching the area to prevent further damage.