A 31-year-old man (MSM) with a treated gonorrhea infection 4 months ago asks about preventing future STIs. He has condomless sex with new partners. Wh...

Question

A 31-year-old man (MSM) with a treated gonorrhea infection 4 months ago asks about preventing future STIs. He has condomless sex with new partners. Which counseling and prescription is consistent with current US guidance?

Accepted Answer

Doxycycline 200 mg after sex within 72 hours, no more than once per 24 hours

Answer

No role for antibiotics after sex; discuss condoms only

Answer

Single 100 mg doxycycline capsule after sex, up to 3 per day

Answer

Daily doxycycline 100 mg indefinitely

Answer

Give ceftriaxone 500 mg IM monthly as prophylaxis

us-abfm MCQ (SBA): STI Prevention (Doxy-PEP)

A 31-year-old man (MSM) with a treated gonorrhea infection 4 months ago asks about preventing future STIs. He has condomless sex with new partners. Which counseling and prescription is consistent with current US guidance?