Sexually transmissible diseases (STDs) are infections that can be passed on through vaginal, anal, or oral sex. These infections often begin through contact with infected body fluids such as blood, vaginal fluids, or semen. Most STDs can be easily diagnosed through simple tests at our clinic and treated effectively. At Lakewood Primary Care and Wellness, all STD checks, testing, and treatments are conducted in a discreet and professional manner, ensuring a caring and positive environment for our patients.

HIV Pre-exposure Prophylaxis (PrEP):

• PrEP is a groundbreaking biomedical advancement that offers effective protection against HIV when taken before potential exposure. The two commonly prescribed PrEP medications are Truvada (tenofovir disoproxil fumarate 300 mg/emtricitabine 200 mg) and Descovy (tenofovir alafenamide 25 mg/emtricitabine 200 mg). Both medications are taken as one pill daily to ensure maximum protection against HIV infection. Studies show that consistent daily use can lower the risk of HIV by as much as 90%. However, its effectiveness significantly decreases if not taken consistently.

• PrEP with Doxycycline for Enhanced Protection: For those at higher risk of STDs, we also recommend considering the use of doxycycline on an as-needed basis in conjunction with PrEP. Doxycycline, taken as post-exposure prophylaxis (PEP) at a dose of 200 mg within 24-72 hours after potential exposure, can help reduce the risk of acquiring bacterial STDs like syphilis, chlamydia, and gonorrhea. This strategy, often referred to as "PrEP 2.0," provides additional protection alongside daily PrEP.

Recommendations:

• Daily PrEP: Take “Truvada” or “Descovy” daily to ensure maximum protection against HIV. Consistent use is key to maintaining its effectiveness.
• PRN Doxycycline: Consider taking “doxycycline 200 mg” as a preventive measure after potential exposure to bacterial STDs. This approach can provide additional protection and peace of mind, especially for those with higher exposure risks.

If you're concerned about having a sexually transmitted disease or are interested in PrEP and PRN doxycycline as preventive measures, we encourage you to book an appointment. You can schedule an in-person visit with Dr. Kohli or opt for convenient PrEP care via telemedicine.

Make an appointment today to ensure your sexual health is well-protected.