Doxy-PEP guide

Doxy-PEP online in Virginia and West Virginia

This guide is for adults who want a standing doxycycline prescription to take after condomless sex to reduce STI risk, not for treating an active infection, and not for HIV or pregnancy prevention.

Start online

Start a $59 online review for Doxy-PEP.

Doxy-PEP is a single dose of doxycycline taken within 72 hours after condomless sex to lower the risk of chlamydia, syphilis, and gonorrhea. The strongest evidence is in men who have sex with men and transgender women who have had an STI in the past year, but it can be a shared-decision option for others at high ongoing risk. It does not prevent HIV or pregnancy.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response times

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response times apply 24/7, every day

Common symptoms

No current symptoms. This is prevention, not treatment
Recent or anticipated condomless sex
Ongoing high risk for bacterial STIs

May fit online care

Adults 18 and older
Condomless sex within the last 72 hours, or a request for a standing prescription for future exposures
No current STI symptoms
Not pregnant, no tetracycline allergy, age 18 or older
Willing to complete quarterly STI screening for refills

Look for another care setting

Current STI symptoms (discharge, sores, pain, rash): needs testing and treatment
Pregnancy or possible pregnancy
A doxycycline or tetracycline allergy
Under age 18

What to have ready

When your most recent condomless sex was
Whether you have any current STI symptoms
Medication allergies, especially to doxycycline or tetracyclines
Willingness to complete quarterly STI screening

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer a few questions to check that this visit fits you, and choose how fast you want an answer (the response window). If your concern still fits this service, a physician reviews it and sends you a secure update after you sign in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD. He is board-certified, has extra training in heart care (a cardiology fellowship), and is a member of Alpha Omega Alpha, a medical honor society. He is licensed in Virginia and West Virginia, and your care is never handed off to someone else.

Verify Virginia medical license Verify West Virginia medical license Verify board certification

Does doxy-PEP prevent HIV or pregnancy?

No. Doxy-PEP only targets bacterial STIs: chlamydia, syphilis, and (to a lesser extent) gonorrhea. It does not prevent HIV or pregnancy, so continue using condoms and consider HIV PrEP if you're at ongoing risk.

Who benefits most from doxy-PEP?

The strongest evidence is in men who have sex with men and transgender women who have had a bacterial STI in the past 12 months. Others at high ongoing STI risk may still be a reasonable fit through shared decision-making.

How often can I use it?

Up to 10 doses a month, taking one 200 mg dose as soon as possible and within 72 hours after condomless sex. Refills require a quarterly STI screen.

Other conditions we treat

Not quite what you have? Here are other conditions we treat.

External genital warts Herpes suppression HIV PrEP STI testing STI treatment