A 57-year-old woman comes to the clinic with persistent dysuria and a burning, itchy sensation in the perineum for several months. She also reports pain with intercourse. She has no urinary frequency, urgency, vaginal discharge, or bleeding, and has not had a menstrual period for 2 years. A course of antibiotics prescribed 10 weeks ago did not help. She takes no medications and has no allergies. On examination, the urethral meatus is prominent and the vulvovaginal tissues are erythematous, with no skin lesions. Urinalysis and urine culture are negative, and cervical culture and pelvic ultrasound are normal. She prefers to avoid prescription medications for now.
| Heart rate | 72/min |
| Respiratory rate | 14/min |
| Temperature | 36.8 °C |
| O2 saturation | 98%, room air |
| Blood pressure | 124/78 mm Hg |
Question 1 of 3
Which of the following are the most appropriate first-line therapies at this visit?
Select 2. (0 / 2 selected)
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