Talk to your doctor
Coping with a sexually transmitted disease or infection (STD/STI) can be difficult and sometimes embarrassing; however, you may benefit from discussing your concerns with your doctor and receiving appropriate treatment. We encourage you to speak with your doctor or health care provider about your symptoms and the proper medications for you. Please know that STDs/STIs are not uncommon. If you have a genital ulcer or sore or painful, swollen lymph nodes, you may need to talk to your doctor or health care provider about whether or not you should be tested for chancroid. However, it's important to remember that some people, usually women, are asymptomatic. If you have had unprotected sex or discover that your partner is having unprotected sex with another person, you may want to ask your doctor or health care provider about being tested.
If a diagnosis is made, in addition to receiving treatment, your health care provider should test for HIV infection. Partners should be examined and treated, regardless of whether symptoms are present, if they had sexual contact with the patient in the ten days before the symptoms appeared.
People sometimes have difficulties talking with their current doctor or health care provider when it comes to sexual health issues. In some cases this may reflect a worry that the provider will be judgmental or hard to talk to. In other cases it might be that you feel your doctor-patient confidentiality may not be respected with your present provider. In either case, we encourage you to find a doctor or health care provider with whom you feel comfortable discussing your concerns.

Where can I find more information about treatment?
Ask your health care provider if you have any questions about your treatment. Chancroid can be treated with antibiotics. Successful treatment does three things:
- It cures infection
- It resolves symptoms (or causes them to disappear)
- It prevents transmission
According to the 2002 CDC STD Treatment Guidelines, the recommended treatment options are:
- Azithromycin 1 g orally in a single dose;
OR
- Ceftriaxone 250 mg intramuscularly (a shot in the muscle) in a single dose;
OR
- Ciprofloxacin 500 mg orally twice a day for 3 days;
OR
- Erythromycinbase 500 mg orally three times a day for 7 days.
Ciprofloxacin is not recommended for pregnant and lactating women. Azithromycin and ceftriaxone offer the advantage of single-dose therapy.
A follow-up examination should be conducted three to seven days after treatment begins. If treatment is successful, ulcers usually improve within three to seven days. The time required for complete healing is related to the size of the ulcer. Large ulcers may require two weeks or longer to heal. In severe cases, scarring may result.
Partners should be examined and treated, regardless of whether symptoms are present, if they had sexual contact with the patient in the ten days before the symptoms appeared.
If you cannot reach your health care provider for specific questions about treatment, you can call or visit your local health department or STD clinic for more information. To find a clinic near you, call the National STD Hotline at (800) 227-8922.

Share your story
Do you have experiences related to chancroid that you are willing to share with others? Triumphs? Challenges? Please send your story to mystory@ashastd.org.
ASHA sincerely appreciates all submissions and each is confidential and anonymous. It is ASHA's intent to collect these comments for use in our patient advocacy work, including potential publication. All submissions are property of ASHA and can be edited for length and clarity. Due to the large volume of emails, we regret that we cannot provide a response to each submission.
Please note: This email service cannot answer questions about chancroid. For any questions, contact your health care provider or call the National STD Hotline at (800) 227-8922.
Thank you.

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