Choice A rationale:

Chlamydia does not typically present with painful vesicles or ulcers; it usually causes genital discharge and discomfort during urination.

Choice B rationale:

Gonorrhea does not commonly cause painful vesicles or ulcers; it primarily leads to genital discharge and discomfort during urination.

Choice C rationale:

Syphilis can cause ulcers (chancre) but is not typically associated with recurrent vesicles, tingling, or itching. It goes through different stages.

Choice D rationale:

This is the correct choice. Genital herpes commonly presents with painful vesicles or ulcers on the genitals, anus, or mouth, along with tingling, burning, or itching before the outbreak.

Choice E rationale:

This is the correct choice. Genital warts, caused by human papillomavirus (HPV), can lead to the development of warts on the genitalia and surrounding areas.