The first step in using the syndromic approach is to ask the
client to describe any symptoms. Then the provider selects the
appropriate algorithm. When a patient complains of a genital
sore or ulcer, the provider should use the genital ulcer algorithm.
This slide shows one possible algorithm to use with this syndrome.
The provider first examines the client and determines whether
an ulcer is present. If there is an ulcer, the provider treats
for syphilis and chancroid. If the ulcer does not go away, the
client should return for further care.
Some algorithms for this syndrome include steps regarding herpes.
Vesicular lesions indicate the presence of herpes. If these
lesions are present, the provider should treat them. While herpes
is a viral infection and cannot be cured, treatment can sometimes
relieve symptoms. Treatment is particularly important for pregnant
women to prevent transmission of the infection to the newborn