Talk to Dermatologist on Psoriasis

Salam.I live in Boston,MA, yeh sawaal karna hai ke Pakistan Mai Psoriasis ka kiya ilaaj hai?mujhe psoriasis hai, dermatologist ne skyrizi biologic prescribe ki hai Jo Mai lagaati yeh biologic taqreeban 1 saal aur Kuch months se use kar rahi Tau kaafi faraq parha(body and skin was like clean),magar abhi Kuch(6,7) months se vaginal area Mai aksar khaarish si rehti hai aur skin bhi bauhat buri hogai hai( like peep,red,pain waghera)rehti nahi aaraha Kiya karun?Aik he dermatologist ko dikha rahi hun,she said to keep using Skyrizi,magar ab face par aur vaginal area par bauhat pain rehti hai,bardaasht karna mushkil tell me what to do? Pakistan Mai aap log kese treat kartay hain Psoriasis ko?