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Treatment

CDC STI Treatment Guidelines should guide treatment of all STIs.126 

In settings where same-day treatment is available, treatment for persons with STI symptoms and their partners can be offered while awaiting the results of diagnostic tests.127 When possible, STI treatment should be provided on-site rather than called into a pharmacy to reduce barriers and ensure access to medication. To limit possible complications, pregnant people diagnosed with an STI should be treated immediately in accordance with CDC STI Treatment Guidelines; treatment does not need to be initiated by an obstetrician/ gynecologist or other specialist.127 The presence of an STI is a biological marker of risk for acquiring other STIs.128 Therefore, people diagnosed with an STI should be offered testing for gonorrhea, chlamydia, HIV, and syphilis unless these tests were already done at the time of initial screening. Individuals with HIV infection should be linked to ongoing HIV care and treatment.128, 129 

Resources for Providers

  • 126

    Centers for Disease Control and Prevention. Provider Resources.

  • 127

    Barrow RY. Recommendations for providing quality sexually transmitted diseases clinical services, 2020. MMWR Recommendations and Reports. 2020;68.

  • 127

    Barrow RY. Recommendations for providing quality sexually transmitted diseases clinical services, 2020. MMWR Recommendations and Reports. 2020;68.

  • 128

    Workowski KA. Sexually transmitted infections treatment guidelines, 2021. MMWR Recommendations and Reports. 2021; 70.

  • 128

    Workowski KA. Sexually transmitted infections treatment guidelines, 2021. MMWR Recommendations and Reports. 2021;70.

  • 129

    The American College of Obstetricians and Gynecologists. Routine human immunodeficiency virus screening. Committee Opinion No. 596. Obstet Gynecol. 2014;123:1137-1139.