Researchdatashowedthatsyndromicapproachcouldsuccessfullymanagegonococcalandchlamydialinfectionsinmalesandsyphilisandchancroidinmalesandfemales.However,lowsensitivity,specificityandpositivepredictivevaluewerefoundinthesyndromicmanagementofvaginaldischarge.Itisrecommendedthatthesyndromicalgorithmformanagementofvaginaldischargeusedwhenservinghigh-riskandsymptomaticwomen.