STI treatment guide

Chlamydia and trichomoniasis treatment online in Virginia and West Virginia

This guide is for a positive chlamydia or trichomoniasis test result, or a documented recent partner diagnosis (expedited partner therapy) — not for gonorrhea, syphilis, or symptoms suggesting a more serious pelvic or systemic infection.

Start online

Start a $59 online review for STI treatment.

Chlamydia and trichomoniasis are common, curable sexually transmitted infections. When you have a positive test result — or your partner was recently diagnosed and you need partner treatment — online review can often confirm treatment quickly. Gonorrhea and syphilis are different: both require a same-day in-person injection and are never treated through this online lane.

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 windows

Quick facts

You must be physically in Virginia and 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 windows: 24/7, every day

Common symptoms

A positive chlamydia or trichomoniasis test result
A recent sex partner diagnosed with chlamydia or trichomoniasis
Mild or no symptoms (both infections are often silent)
Vaginal or urethral discharge, burning with urination, or vaginal itching/irritation

May fit online care

Adults 18 and older
A positive chlamydia or trichomoniasis test result, or documented partner diagnosis
No pelvic pain, fever, testicular pain, or rectal symptoms
No positive gonorrhea or syphilis result
No recent high-risk HIV exposure concern

Look for another care setting

A positive gonorrhea or syphilis test result (these need an in-person injection)
Pelvic or lower-abdominal pain, or fever (possible pelvic inflammatory disease)
Testicular pain or swelling, or rectal pain or discharge
Joint pain with a rash and fever, or a recent high-risk HIV exposure

What to have ready

A clear photo of your test result, or your partner's diagnosis/treatment details
Whether you are pregnant or could be pregnant
Any pelvic, testicular, or rectal symptoms
Medication allergies (especially doxycycline, azithromycin, or metronidazole) and current medications

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 the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after 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 — board-certified, cardiology-fellowship-trained, and Alpha Omega Alpha. Recognized with the Act Fast Award for the fastest physician stroke-treatment times (2019–2022) and as the most efficient, highest-rated physician in the HCA LewisGale Alleghany emergency department (2018). Licensed in Virginia and West Virginia — your care is never handed off.

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Why can't you treat gonorrhea or syphilis online?

Both infections are treated with a single in-person injection (ceftriaxone for gonorrhea, penicillin for syphilis) rather than a pill you take at home, so they cannot be prescribed through this asynchronous online lane. If your test is positive for either, go to an urgent care clinic, health department STI clinic, or emergency department for same-day treatment.

What is expedited partner therapy?

If your sex partner was recently diagnosed with chlamydia or trichomoniasis, Virginia and West Virginia both allow treating you based on that diagnosis without requiring your own positive test — this is called expedited partner therapy (EPT). You'll be asked for details about your partner's diagnosis and treatment.

Do I need to tell my partner?

Yes. Any sex partner from the last 60 days needs to be treated too, or you can be reinfected even after your own treatment finishes. Avoid sex for 7 days after you and your partner(s) both complete treatment, and plan to get retested in about 3 months.