Review Question - QID 109918

A 52-year-old woman presents to her primary care physician with a concern of vaginal itchiness. She has ongoing vaginal itchiness that is disturbing her life and she is embarrassed when she has to scratch in public. The patient has a past medical history of a urinary tract infection treated 2 days ago and chlamydia treated 1 month ago. She has a 33-pack-year smoking history. The patient admits to having unprotected sex with multiple partners recently. Her current medications include ibuprofen and 1 dose of trimethoprim-sulfamethoxazole for her urinary tract infection. Her temperature is 99.5°F (37.5°C), blood pressure is 127/84 mmHg, pulse is 90/min, respirations are 17/min, and oxygen saturation is 98% on room air. Cardiopulmonary exam is within normal limits. Pelvic exam is notable for the findings in Figure A, which the patient states has remained completely unchanged during this time frame. Which of the following is the most appropriate next step in management for this patient's chief concern?