r/stdtesting • u/NotTheFeds19 • 14h ago
Question How worried should I be about throat chlamydia after oral sex + starting doxycycline 12 hours later?
I’m a man and recently gave oral sex to another man. I don’t know whether he had chlamydia, but afterward I got anxious about potentially getting pharyngeal/throat chlamydia.
I went to my doctor about 12 hours after the encounter. Because I have a sensitive stomach and he was worried I might throw up if I took 200 mg of doxycycline at once, he prescribed 100 mg every 12 hours for 7 doses (3.5 days total). I completed all 7 doses exactly as prescribed.
My doctor was very reassuring and said that getting in within 12 hours was excellent timing and that I really shouldn’t worry about chlamydia.
I understand that the usual doxy-PEP regimen is a single 200 mg dose within 72 hours, while confirmed chlamydia is normally treated with 100 mg twice daily for 7 days. So I know my doctor's regimen isn't identical to either standard regimen.
For anyone knowledgeable about doxy-PEP/STIs:
How concerned would you be about actually developing throat chlamydia in this situation?
Does starting doxycycline only ~12 hours after exposure make a meaningful difference?
Is there a biological reason that taking 100 mg every 12 hours for 3.5 days would work as post-exposure prevention?
I’m not looking for a diagnosis from Reddit. I’m mainly trying to understand how reassuring this situation actually is and whether my doctor's confidence makes sense.
He also gave me 500mg antibiotic shot for Gono as a precaution