<prompt> The following are the signs and symptoms included in the syndromic approach of sexually transmitted disease except -Genital ulcersUrethal discharge in malesDysuria in womenVaginal discharge  <response>: Signs and symptoms included in the syndromic approach of STD : Urethral discharge in males Vaginal discharge Lower abdominal pain in females Genital ulcer Scrotal swelling Inguinal bubo Ref: PARK;S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE 23rd edition pg 333 