A 29-Year-Old Lady Visits the Clinic for an Examination of Vaginal

A 29-year-old lady visits the clinic for an examination of vaginal discharge and pruritus that has been bothering her for the previous week. The discharge is thick and yellow, with no odor. The patient engages in sexual activity with several partners. When asked what genders her sexual partners are, the patient responds, "What difference does it make? I'm very sure I have a yeast infection, therefore all I need is some medicine." Which of the following is the best reaction at this time?

A) "I can see you're uncomfortable talking about this.  We can discuss it at a follow-up appointment when you're ready."
B) "I routinely ask my patients about sexual partners because it helps me fully understand what their health needs are."
C) "It may be difficult to offer the most appropriate screening and treatment unless you are open about your sexual partners."
D) "This can be an uncomfortable topic for patients; tell me why you don't feel comfortable talking about your sexual partners."
E) "This is likely a yeast infection, but I need you to tell me about your sexual relationships to be sure it isn't something more serious."