Skin tags

During a physical my dr noticed a mole and skin tags on my labia. She referred me to a dermatologist. She told me to keep an eye on them and see her in 6 months. I felt so rushed out of there. I understand with the mole, you don't want to just remove them. One of the skin tags is pigmented. I would have thought that she would have suggested to remove the skin tags. I understand it's a sensitive area and my concern is mostly cosmetic. Is it common to just leave them? Is it difficult to remove them from this area? Or could there be complications? What are possible methods?