A 29-year-old woman presents with painful blisters on her genitalia and dysuria. She has had unprotected intercourse with a new partner. On examinatio...

Question

A 29-year-old woman presents with painful blisters on her genitalia and dysuria. She has had unprotected intercourse with a new partner. On examination there are multiple shallow ulcers consistent with primary genital herpes. What is the most appropriate initial management?

Accepted Answer

Prescribe oral Aciclovir and offer STI screening and counselling

Answer

Reassure only; no specific treatment is required

Answer

Start broad-spectrum antibiotics

Answer

Arrange urgent colposcopy

Answer

Start long-term suppressive therapy immediately for life

uk-plab-1 MCQ (SBA): Genital herpes – first episode management

A 29-year-old woman presents with painful blisters on her genitalia and dysuria. She has had unprotected intercourse with a new partner. On examination there are multiple shallow ulcers consistent with primary genital herpes. What is the most appropriate initial management?