MRCP2-1030
A 35-year-old woman presents to the Genitourinary Clinic with a 4-day history of vulval itching. She denies any fever or lower urinary tract symptoms and reports no vaginal discharge. She had unprotected sex with a new partner three weeks ago. She has no significant medical history and is not taking any medication other than regular folic acid. She has no known allergies. She is currently 14 weeks pregnant.
During the examination, her temperature is 36.5 °C, heart rate is 80 bpm, and blood pressure is 120/70 mmHg. Her abdomen is soft and non-tender. Multiple flesh-colored papules are visible around the vulva, with the largest measuring 4 mm in diameter. Some of the papules have an irregular border with mild bleeding.
What is the most appropriate next step in managing this patient?