Condoms are great but not for everyone. For some, certain medications can serve as an effective alternative or additional protection layer. If used correctly, they significantly reduce the likelihood of contracting chlamydia and syphilis, and to a lesser degree, gonorrhea.
Subject to recommendation and prescription by a doctor, it can involve taking a one-time, single dose of a certain antibiotic to reduce the risk of contracting an STI after a sexual contact. If taken once, no later than 72 hours after sex, it can lower the risk of contracting an STI significantly.
Based on clinical studies, it can be beneficial for cisgender men who have condomless sex with men (MSM) and trans* individuals (AMAB) who have sex with MSM. Condomless sex means that a condom isn’t used for most of the time. That can be during any type of sex - oral, anal, and vaginal or front-hole sex.
What’s included in your membership?
Starting at €25/month. Cancel anytime.
Public health insurance does not cover the cost of consultations or medications. Currently, publicly (statutory) insured individuals must pay these costs themselves. If you are privately insured, you can coordinate with your private health insurance in advance to clarify coverage options.
Should your consultation reveal that the program is medically unsuitable for you, we will of course refund the paid amount in full (only applies to Plan D). You should receive it within 10 business days.
Due to regulations of the Medicinal Products Advertising Act (Heilmittelwerbegesetz), we are not allowed to name medications or active ingredients on our website. Once a doctor has evaluated your suitability for the program you will be informed about the name of the medication, if applicable. Our team is available throughout the entire process to answer all your questions.
The use of antibiotics for the prophylaxis of sexually transmitted infections can lead to an increase in antibiotic resistance
For chlamydia and syphilis, despite long-term use, no resistances against the standard therapies have been observed. Gonorrhea, on the other hand, already has high resistance, which is why the antibiotic used for STI-prophylaxis is not used for treatment. Moreover, there are currently no indications that the usual therapy for gonorrhea is compromised by medication-based STI-prophylaxis, as it does not seem to increase resistance to other antibiotics (Chu VT et al., CROI 2024, #1154).
For other bacteria, the development of resistance appears to depend on the frequency of use and is relatively low with moderate use (Chu VT et al.; CROI 2024; #1154). Even with daily use, resistance build-up is only temporary and limited (Truong R et al. 2022; doi:10.1093/jacamr/dlac009).
In summary: Antibiotic resistance is a serious topic and should be monitored. However, with responsible use and medical supervision as post-exposure prophylaxis, major adverse effects are unlikely.
As with most medications, STI prevention medications can cause side effects or allergic reactions.Our medical team will inform you about possible side effects and provide individual and timely support throughout your journey should you be affected by side effects. We ensure that you are medically supervised throughout your entire treatment.For questions, feel free to contact us via our chat or by email at: hi@everyhealth.me
If one or more of the following symptoms occur, indicating a medical emergency, you should immediately visit an emergency room or call the emergency number 112 depending on the severity: Difficulty breathing, swelling of the face, lips, tongue, or throat, severe abdominal pain, chest pain, persistent numbness or circulatory problems, persistent headaches, vision problems or dizziness, severe skin reactions with blistering, bloody or black stool, yellowing of the skin or eyes.
If it is not an emergency, please contact your general practitioner or the medical emergency service number 116 117.
If you are in a mental health crisis, please contact a counseling center or the telephone counseling service 0800 1110111, 0800 1110222 or 116 123.
If your life is in danger due to a mental health crisis, please go to the nearest emergency room or call 112.
Feel free to contact us at any time via our chat or by email: hi@everyhealth.me
Disclaimer: Please note that this information is for general informational purposes only and not a substitute for professional medical advice. Each individual's health situation is unique. Always use medication under medical supervision, following the prescribed instructions for optimal results and minimal side effects.
Our partner pharmacy is Leibniz Apotheke in Hannover (Georgstraße 46, 30159 Hannover). In case of questions regarding pharmaceuticals, please contact our partner pharmacy or a pharmacy of your choice.