The syndromic approach for the management of sexually transmitted diseases (STDs) is a practical method of diagnosing and treating sexually transmitted infections based on the signs and symptoms, or syndromes, presented by the patient. It is particularly useful in primary health-care settings where laboratory facilities for identifying specific pathogens may not be readily available. The approach aims to provide immediate and effective treatment, prevent complications and reduce further transmission of infection. In the syndromic approach, a health-care provider identifies a group of characteristic symptoms and clinical signs associated with a particular STD syndrome. Common syndromes include urethral discharge, vaginal discharge, genital ulcer, lower abdominal pain, scrotal swelling, and inguinal bubo. Instead of waiting for laboratory confirmation, the provider uses standard treatment guidelines to select appropriate medicines that cover the most likely causative organisms. The first step is taking a detailed history of the patient. Information regarding