A 14-Year-Old Woman Comes to the Office Due to Discolored

A 14-year-old woman comes to the office due to discolored vaginal discharge with a bad smell. The patient is accompanied by her mother. She has noticed an increased amount of vaginal discharge for the last 3 days, but without vaginal bleeding. She does not complain of abdominal or pelvic pain. She has been sexually active with a new partner and uses condoms for contraception. Her last menstrual period was 10 days ago. The patient does not have prior medical or surgical history. Vital signs are normal. Physical examination shows normal abdominal examination. The patient refused the pelvic examination. Which of the following is the best action?

A) Do the pelvic examination with benzodiazepine administration.
B) Ask the patient's mother to leave the room and proceed with the examination
C) Distract the patient with questions while performing the examination
D) Do not perform the examination and ask the patient if she will perform self-collection for testing
E) Obtain permission from the patient's mother to proceed with the examination