A 23-year-old woman has painful vulval ulcers and dysuria for 2 days. Examination shows multiple tender vesicles and shallow ulcers. She is

Question

A 23-year-old woman has painful vulval ulcers and dysuria for 2 days. Examination shows multiple tender vesicles and shallow ulcers. She is systemically well and pregnancy test is negative. What is the most appropriate management?

Accepted Answer

Start oral aciclovir and provide analgesia and sexual health advice

Answer

Advise no treatment because ulcers are self-limiting

Answer

Perform cervical screening as treatment

Answer

Treat with benzathine penicillin as first-line

Answer

Apply podophyllotoxin to the ulcers

Genital herpes — DRCOG MCQ

A 23-year-old woman has painful vulval ulcers and dysuria for 2 days. Examination shows multiple tender vesicles and shallow ulcers. She is systemically well and pregnancy test is negative. What is the most appropriate management?