A 29-year-old MSM with a treated gonorrhea infection 4 months ago asks about preventing future STIs. He has condomless sex with male partners. What po...

Question

A 29-year-old MSM with a treated gonorrhea infection 4 months ago asks about preventing future STIs. He has condomless sex with male partners. What postexposure strategy is recommended for eligible patients like him?

Accepted Answer

Doxycycline 200 mg once within 72 hours after sex (not more than 200 mg per 24 hours), reassess every 3-6 months

Answer

Daily doxycycline 100 mg twice to prevent STIs

Answer

Ceftriaxone 500 mg IM monthly

Answer

Azithromycin 1 g after each sex act

Answer

No biomedical prevention; counseling only

us-usmle-step-2 MCQ (SBA): STI Prevention

A 29-year-old MSM with a treated gonorrhea infection 4 months ago asks about preventing future STIs. He has condomless sex with male partners. What postexposure strategy is recommended for eligible patients like him?