A 48-year-old premenopausal Hispanic woman with past medical history of breast cancer presents with the chief complaint of persistent vulvar pruritus. The vulvar itching began while traveling and has continued for 6 months. Previous treatments have been trialed, including over-the-counter feminine hygiene products, wipes, and hydrocortisone ointment. Physical examination reveals pink, symmetric, bilateral lichenified plaques on the labia majora, without evidence of atrophy or scarring. Scant white vaginal discharge is also noted. What is the most likely diagnosis?
a. Genital lichen simplex chronicus
b.Genital atopic dermatitis
c.Genital lichen sclerosis
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