Weaver, J.
Following a jury trial, defendant was convicted of first-degree criminal sexual conduct, MCL 750.520b(1)(b)(ii); MSA 28.788(2)(1)(b)(ii), and was sentenced to ten to twenty years’ imprisonment. He appeals as of right. We affirm his conviction, but remand for resentencing.
Defendant claims that the trial court erred when it admitted pursuant to MRE 803(4) testimony by a physician that the victim told the physician that she had been fondled and raped on repeated occasions by one person. We note that defendant objected to the physician’s testimony that the victim had been raped and that there was a single perpetrator. We also note that the physician did not name the person and that the medical examination occurred at least three months after the victim disclosed the alleged abuse. The trial court ruled that the testimony was admissible pursuant to MRE 803(4), which provides:
The following is not excluded by the hearsay rule, even though the declarant is available as a witness:
(4) Statements made for purposes of medical treatment or medical diagnosis in connection with treatment and describing medical history, or past or present symptoms, pain, or sensations, or the inception or general character of the cause or external source thereof insofar as reasonably necessary to such diagnosis and treatment.
In People v LaLone, 432 Mich 103; 437 NW2d 611 (1989), our Supreme Court held that statements made to a psychologist concerning the identity of the perpetrator were not admissible pursu[207]*207ant to MRE 803(4). The Supreme Court also held that the victim’s statements to the psychologist were inadmissible pursuant to MRE 803(4) because they were not made in connection with treatment when they were made after the initial investigation into the allegations of abuse had been launched. Id. The Court reversed the defendant’s conviction of first-degree criminal sexual conduct, involving his fourteen-year-old stepdaughter, and remanded for a new trial, noting that a credibility contest was involved.
In People v Meeboer, 181 Mich App 365; 449 NW2d 124 (1989), lv gtd 436 Mich 880 (1990), this Court held that statements made by a six-year-old victim to a physician one week after the alleged assault were admissible pursuant to MRE 803(4). This Court distinguished LaLone because the victim in Meeboer had made her statement to a physician, not to a psychologist. This Court also distinguished LaLone on the basis that the statements regarding the identity of the perpetrator were admissible because they were necessary for medical treatment. In any event, this Court held that any error would have been harmless because the physician’s testimony was cumulative to the victim’s testimony. Meeboer, supra, 373.
In People v Conn (On Remand), 182 Mich App 13; 451 NW2d 555 (1990), lv gtd 436 Mich 880 (1990), this Court held that LaLone prevented statements made to a physician from being admitted pursuant to MRE 803(4).
In People v DePlanche, 183 Mich App 685; 455 NW2d 395 (1990), this Court reversed the defendant’s conviction and remanded for a new trial, holding that statements made to a physician were inadmissible pursuant to MRE 803(4) where the statements were made during an examination six months after the abuse allegations had been made.
[208]*208We agree with defendant that the victim’s statements to the physician in this case were inadmissible pursuant to MRE 803(4) because they were not made in connection with treatment. LaLone, supra; DePlanche, supra.
We note that on appeal the prosecutor argues that the statements were not hearsay in that they were not offered to prove the truth of the matter asserted. MRE 801(c). Having reviewed the record, we believe that the testimony was offered for that purpose, and the jury was not instructed otherwise.
The prosecutor also claims that the error was harmless. We agree. The victim testified with respect to the abuse that occurred and identified defendant as the perpetrator. A school counselor also testified that the victim had told her that she had sexual relations with her uncle. The physical examination confirmed that the thirteen-year-old victim had no hymen, which was consistent with repeated sexual intercourse. Under these circumstances, we hold that the admission of the physician’s testimony was harmless. Meeboer, supra.
Defendant next claims that the trial court erred when it declined to instruct the jury with regard to third-degree and fourth-degree esc. We note that the trial court granted defendant’s request to instruct the jury with regard to second-degree esc. The difference between first-degree esc, MCL 750.520b(1)(b)(ii); MSA 28.788(2)(1)(b)(ii), and third-degree esc, MCL 750.520d(1)(a); MSA 28.788(4)(1) (a), is the existence of familial relationship to the fourth degree. The prosecutor correctly concedes that third-degree esc in this case is a necessarily lesser included offense of first-degree esc. Nonetheless, the trial court declined to instruct the jury with regard to third-degree esc, ruling that the familial relationship was not disputed. We find [209]*209that the trial court’s failure to give the requested instruction, while erroneous, was harmless.
Our Supreme Court has adopted a harmless error analysis where a trial court has failed to instruct on a cognate lesser included offense. People v Beach, 429 Mich 450, 466; 418 NW2d 861 (1988). At that time, the Supreme Court refused to comment on this Court’s failure to apply a harmless error analysis to a refused instruction regarding a necessarily included offense, noting that the case before it presented only cognate lesser included offenses. We conclude that the harmless error analysis should be extended to refused instructions regarding necessarily lesser included offenses.
Beach addressed instructions regarding cognate lesser included offenses that should have been given because the evidence adduced at trial was sufficient to support a guilty verdict on that charge. Thus, these cognate offenses effectively are in the same posture as necessarily included lesser offenses. We can find no rationale not to apply a harmless error analysis to the latter as well as the former.
Adopting such a position shows that the refusal to instruct with regard to third-degree criminal sexual conduct was harmless error. The jury rejected the charged offense of second-degree criminal sexual conduct. The difference between first- or second-degree and third-degree criminal sexual conduct is the existence of a fourth-degree family relationship. However, defendant did not rest his defense on the proposition that he was not related to the victim. The defense theory was based on a denial of the accusation, asserting that the victim’s testimony should not be believed. The jury was presented with the option of a lesser offense, second-degree esc, and rejected it in favor of con[210]*210viction of the higher offense. In such an instance, the court’s failure to instruct the jury with regard to the lesser included offense is harmless error. See Beach, supra, 490-491.
Concerning the trial court’s failure to instruct with regard to fourth-degree esc, we agree with People v Norman, 184 Mich App 255, 259-261; 457 NW2d 136 (1990), that there was no error given the facts presented at trial.
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Weaver, J.
Following a jury trial, defendant was convicted of first-degree criminal sexual conduct, MCL 750.520b(1)(b)(ii); MSA 28.788(2)(1)(b)(ii), and was sentenced to ten to twenty years’ imprisonment. He appeals as of right. We affirm his conviction, but remand for resentencing.
Defendant claims that the trial court erred when it admitted pursuant to MRE 803(4) testimony by a physician that the victim told the physician that she had been fondled and raped on repeated occasions by one person. We note that defendant objected to the physician’s testimony that the victim had been raped and that there was a single perpetrator. We also note that the physician did not name the person and that the medical examination occurred at least three months after the victim disclosed the alleged abuse. The trial court ruled that the testimony was admissible pursuant to MRE 803(4), which provides:
The following is not excluded by the hearsay rule, even though the declarant is available as a witness:
(4) Statements made for purposes of medical treatment or medical diagnosis in connection with treatment and describing medical history, or past or present symptoms, pain, or sensations, or the inception or general character of the cause or external source thereof insofar as reasonably necessary to such diagnosis and treatment.
In People v LaLone, 432 Mich 103; 437 NW2d 611 (1989), our Supreme Court held that statements made to a psychologist concerning the identity of the perpetrator were not admissible pursu[207]*207ant to MRE 803(4). The Supreme Court also held that the victim’s statements to the psychologist were inadmissible pursuant to MRE 803(4) because they were not made in connection with treatment when they were made after the initial investigation into the allegations of abuse had been launched. Id. The Court reversed the defendant’s conviction of first-degree criminal sexual conduct, involving his fourteen-year-old stepdaughter, and remanded for a new trial, noting that a credibility contest was involved.
In People v Meeboer, 181 Mich App 365; 449 NW2d 124 (1989), lv gtd 436 Mich 880 (1990), this Court held that statements made by a six-year-old victim to a physician one week after the alleged assault were admissible pursuant to MRE 803(4). This Court distinguished LaLone because the victim in Meeboer had made her statement to a physician, not to a psychologist. This Court also distinguished LaLone on the basis that the statements regarding the identity of the perpetrator were admissible because they were necessary for medical treatment. In any event, this Court held that any error would have been harmless because the physician’s testimony was cumulative to the victim’s testimony. Meeboer, supra, 373.
In People v Conn (On Remand), 182 Mich App 13; 451 NW2d 555 (1990), lv gtd 436 Mich 880 (1990), this Court held that LaLone prevented statements made to a physician from being admitted pursuant to MRE 803(4).
In People v DePlanche, 183 Mich App 685; 455 NW2d 395 (1990), this Court reversed the defendant’s conviction and remanded for a new trial, holding that statements made to a physician were inadmissible pursuant to MRE 803(4) where the statements were made during an examination six months after the abuse allegations had been made.
[208]*208We agree with defendant that the victim’s statements to the physician in this case were inadmissible pursuant to MRE 803(4) because they were not made in connection with treatment. LaLone, supra; DePlanche, supra.
We note that on appeal the prosecutor argues that the statements were not hearsay in that they were not offered to prove the truth of the matter asserted. MRE 801(c). Having reviewed the record, we believe that the testimony was offered for that purpose, and the jury was not instructed otherwise.
The prosecutor also claims that the error was harmless. We agree. The victim testified with respect to the abuse that occurred and identified defendant as the perpetrator. A school counselor also testified that the victim had told her that she had sexual relations with her uncle. The physical examination confirmed that the thirteen-year-old victim had no hymen, which was consistent with repeated sexual intercourse. Under these circumstances, we hold that the admission of the physician’s testimony was harmless. Meeboer, supra.
Defendant next claims that the trial court erred when it declined to instruct the jury with regard to third-degree and fourth-degree esc. We note that the trial court granted defendant’s request to instruct the jury with regard to second-degree esc. The difference between first-degree esc, MCL 750.520b(1)(b)(ii); MSA 28.788(2)(1)(b)(ii), and third-degree esc, MCL 750.520d(1)(a); MSA 28.788(4)(1) (a), is the existence of familial relationship to the fourth degree. The prosecutor correctly concedes that third-degree esc in this case is a necessarily lesser included offense of first-degree esc. Nonetheless, the trial court declined to instruct the jury with regard to third-degree esc, ruling that the familial relationship was not disputed. We find [209]*209that the trial court’s failure to give the requested instruction, while erroneous, was harmless.
Our Supreme Court has adopted a harmless error analysis where a trial court has failed to instruct on a cognate lesser included offense. People v Beach, 429 Mich 450, 466; 418 NW2d 861 (1988). At that time, the Supreme Court refused to comment on this Court’s failure to apply a harmless error analysis to a refused instruction regarding a necessarily included offense, noting that the case before it presented only cognate lesser included offenses. We conclude that the harmless error analysis should be extended to refused instructions regarding necessarily lesser included offenses.
Beach addressed instructions regarding cognate lesser included offenses that should have been given because the evidence adduced at trial was sufficient to support a guilty verdict on that charge. Thus, these cognate offenses effectively are in the same posture as necessarily included lesser offenses. We can find no rationale not to apply a harmless error analysis to the latter as well as the former.
Adopting such a position shows that the refusal to instruct with regard to third-degree criminal sexual conduct was harmless error. The jury rejected the charged offense of second-degree criminal sexual conduct. The difference between first- or second-degree and third-degree criminal sexual conduct is the existence of a fourth-degree family relationship. However, defendant did not rest his defense on the proposition that he was not related to the victim. The defense theory was based on a denial of the accusation, asserting that the victim’s testimony should not be believed. The jury was presented with the option of a lesser offense, second-degree esc, and rejected it in favor of con[210]*210viction of the higher offense. In such an instance, the court’s failure to instruct the jury with regard to the lesser included offense is harmless error. See Beach, supra, 490-491.
Concerning the trial court’s failure to instruct with regard to fourth-degree esc, we agree with People v Norman, 184 Mich App 255, 259-261; 457 NW2d 136 (1990), that there was no error given the facts presented at trial.
Defendant’s final assignment of error is that improper matters were considered during sentencing. At sentencing, the trial court stated:
I am very concerned about this case. I’m concerned because it was a case that went to trial. One of the things that the jurors said is that, "If they were going to lie that at least the husband and wife could’ve gotten together and gotten their stories straight.” One of the reasons that they were impressed with guilt was because they couldn’t get their stories straight between the husband and wife. And they certainly were very well rehearsed. But for some reason they weren’t identical.
I think that when you have a situation like this where you have a young girl, there have been threats, where there is a relationship of — of uncle and niece — if you go to trial and you put her through what she went through with all of the— the — the problems she had to go through and she continued to go through those problems for two and a half years [the time it took to bring the case to trial] you couldn’t even lie properly.
And to get up on the stand and your [sic] sanctimonious and you’re self-righteous and you’re guilty, that seems to me to be something that is— that is beyond descent [sic]. And certainly this type of an offense where she’s so young that it — it took her a course in school to understand that what was going on in her life was wrong.
I — I look at the sentence and I look at the [211]*211recommendation. The recommendation is from ten to twenty. The officer recommends from twelve to forty. And even before the recommendation was extremely high.
I don’t know that there is any way that you can be rehabilitated. As I look at the presentence report, and I look at — at how you have conducted yourself, and what — what you do in terms of your life, and the inconsistencies from what appeared in —in Court and in trial is not that [sic] was reflected in the presentence investigation. I don’t think that rehabilitation is something that is some —that you’re going to experience.
The punishment here, and the reason for your sentence is punishment, it is not rehabilitation because I don’t think that you can be rehabilitated.
The sentencing guidelines are within the recommendation, it will be the sentence of this Court that you spend from ten to twenty years in the state prison for Southern Michigan.
Defendant first claims that the trial court improperly considered the fact that he exercised his right to trial in imposing his sentence. To the extent that the trial court’s comments can be read so, we agree that such a consideration is improper. Defendant has the constitutional right to a trial and should not be penalized for exercising that right.
Defendant also claims that the trial court improperly considered his refusal to admit guilt and his alleged lies at trial. Defendant appeared apologetic during sentencing, but did not explicitly admit his guilt. To the extent the trial court considers these factors at resentencing, it should do so consistent with our Supreme Court’s opinions in People v Adams, 430 Mich 679; 425 NW2d 437 (1988), and People v Wesley, 428 Mich 708; 411 NW2d 159 (1987), cert den 484 US 967 (1987).
[212]*212Finally, defendant claims that the trial court improperly spoke with the jury, because he was not present or represented during that discussion. To the extent the sentencing court relied on comments of the jurors, those comments were directed at defendant’s testimony, which was inconsistent to a certain extent with his wife’s. The discrepancy was apparent to the trial court even without its discussion with the jury and, therefore, the error, if any, was harmless.
We affirm defendant’s conviction of first-degree criminal sexual conduct, but remand for resentencing. We do not retain jurisdiction. Affirmed, but remanded for resentencing.
Doctoroff, J., concurred.