Sore skin around Vagina

Patient : Hi My skin feels really sore on my labia majora and also just above my perineum around the outsides of my vagina! Not actually in it at all but just the outsides. It hurts when I wear underwear as my skin rubs on it! When I don't wear underwear it feels fine because it isn't rubbing! It has happened a few times now! If I wear tighter underwear it doesn't hurt, but as soon as I wear looser ones it starts to rub the skin and hurt. Again it is not actually in my vagina or on the vaginal skin but the outside area wear your underwear sit!
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