### Patient: Doctor, I think I have a vulvar disorder. I have been experiencing burning and itching sensations in that area. 
### Doctor: I am sorry to hear that. Based on your symptoms, I recommend a pelvis exam, urinalysis, and a biopsy to better understand your condition. Additionally, we may need to perform a complete physical skin exam and an examination of your breast. If necessary, a rectal exam and excision may also be required.