Question

A 23-year-old man presents with painful grouped vesicles on an erythematous base on the penis, along with dysuria. This is his first episode. According to Canadian STI guidelines, what is the most appropriate management?

Accepted Answer

Oral acyclovir or valacyclovir for first-episode genital herpes and counselling about transmission.

Answer

Topical acyclovir cream only.

Answer

No treatment; lesions will resolve spontaneously.

Answer

Empiric intramuscular benzathine penicillin G.

Answer

Oral metronidazole.

Practice question

A 23-year-old man presents with painful grouped vesicles on an erythematous base on the penis, along with dysuria. This is his first episode. According to Canadian STI guidelines, what is the most appropriate management?