A newly married individual comes to a gynecology clinic reporting anorexia, insomnia, and extreme dyspareunia that have affected her intimate relationship. Which initial intervention would the nurse expect a physician to implement?

Choice A reason: While relaxation therapy may help with anxiety and insomnia, it does not address the physical causes of dyspareunia. It is not an initial diagnostic step. Choice B reason: Referral to a sex therapist may be appropriate later, but initial evaluation should rule out physical causes of pain and anorexia. Jumping to therapy without assessment may miss underlying medical conditions. Choice C reason: A thorough physical and gynecological examination is the first step to identify any anatomical, infectious, or hormonal causes of dyspareunia. It also helps assess nutritional status and rule out other medical contributors to anorexia and insomnia. Choice D reason: Sexual history is important, but it complements—not replaces—a physical exam. Assessment alone cannot diagnose physical causes of pain or anorexia.