STDs are on the rise and this morning-after-style pill may help

Apr 11, 2023, 7:00 PM

(Photo By MediaNews Group/Reading Eagle via Getty Images)...

(Photo By MediaNews Group/Reading Eagle via Getty Images)

(Photo By MediaNews Group/Reading Eagle via Getty Images)

NEW YORK (AP) — U.S. health officials released data Tuesday showing how chlamydia, gonorrhea and syphilis cases have been accelerating, but doctors are hoping an old drug will help fight the sexually transmitted infections.

Experts believe STDs have been rising because of declining condom use, inadequate sex education and reduced testing during the COVID-19 pandemic.

Millions of Americans are infected each year. Rates are highest in men who have sex with men, and among Black and Hispanic Americans and Native Americans.

“Sexually transmitted infections are an enormous, low-priority public health problem. And they’ve been a low-priority problem for decades, in spite of the fact that they are the most commonly reported kind of infectious disease,” said Dr. John M. Douglas Jr., a retired health official who lectures at the Colorado School of Public Health.

To try to turn the tide, many doctors see promise in doxycycline, a cheap antibiotic that has been sold for more than 50 years.

The Centers for Disease Control and Prevention is drafting recommendations for using it as a kind of morning-after pill for preventing STDs, said Dr. Leandro Mena, director of the agency’s STD prevention division.

The drug is already used to treat a range of infections. A study published last week in the New England Journal of Medicine showed its potential to prevent sexually transmitted infections.

In the study, about 500 gay men, bisexual men and transgender women in Seattle and San Francisco with previous STD infections took one doxycycline pill within 72 hours of unprotected sex. Those who took the pills were about 90% less likely to get chlamydia, about 80% less likely to get syphilis, and more than 50% less likely to get gonorrhea compared with people who did not take the pills after sex, the researchers found.

The study was led by researchers at the University of California, San Francisco and built on a similar French study that saw promise in the idea.

“We do need new approaches, new innovations” to help bring sexually transmitted infections under control, said Dr. Philip Andrew Chan, who is consulting with the CDC on the doxycycline recommendations.

Mena, of the CDC, said there is no sign the STD trend is slowing.

Mississippi had the highest rate of gonorrhea cases, according to 2021 CDC data released Tuesday. Alaska saw a sharp increase in its chlamydia case rate that allowed it to overtake Mississippi at the top of that list. South Dakota had the highest rate of early-stage syphilis.

And Arizona had the tragic distinction of having the highest rate of cases in which infected moms pass syphilis on to their babies, potentially leading to death of the child or health problems like deafness and blindness.

Using an antibiotic to prevent these kinds of infections won’t “be a magic bullet. but it will be another tool,” said Chan, who teaches at Brown University and is chief medical officer of Open Door Health, a health center for gay, lesbian and transgender patients in Providence, Rhode Island.

Experts noted the CDC will have many factors to weigh as it develops the recommendations.

Among them: The drug can cause side effects like stomach problems and rashes after sun exposure. Some research has found it ineffective in heterosexual women. And widespread use of doxycycline as a preventive measure could contribute to mutations that make bacteria impervious to the drug, as has happened with antibiotics before.

Nevertheless, the San Francisco Department of Public Health in October became the first U.S. health department to issue guidance about doxycycline as an infection-prevention measure. And some other clinics have been been recommending the antibiotic to patients who may be at higher risk.

Derrick Woods-Morrow, a 33-year-old artist and an assistant professor at the Rhode Island School of Design, is an early adopter. Woods-Morrow, said he isn’t a fan of condoms — they can break and sometimes people slip them off during sex. But he wants to stay healthy.

About a decade ago, he started taking an anti-viral medication before sex to protect himself from HIV infection. Five years ago, a doctor told him about research into whether doxycycline might protect people from other diseases.

“I thought it was probably in my best interest to protect myself, and my partners as well,” he said. He said it’s been a positive experience and that he hasn’t tested positive for chlamydia, gonorrhea or syphilis while using it.

“I feel like it’s a tool to sort of take back the sexual freedoms that someone may have lost and to really enjoy sex and interactions with people with a piece of mind,” he said.

United States News

Gov. Greg Abbott receives a briefing for Hurricane Beryl from local elected officials Sunday, July ...

Associated Press

Texas Gov. Greg Abbott demands answers as customers remain without power after Beryl

DALLAS (AP) — With around 350,000 homes and businesses still without power in the Houston area almost a week after Hurricane Beryl hit Texas, Gov. Greg Abbott on Sunday said he’s demanding an investigation into the response of the utility that serves the area as well as answers about its preparations for upcoming storms. “Power […]

2 hours ago

Associated Press

Acclaimed video artist Bill Viola dies at 73, created landmark `Tristan und Isolde’ production

LONG BEACH, Calif. (AP) — Bill Viola, a video artist who combined with director Peter Sellars on a groundbreaking production of Wagner’s “Tristan und Isolde” originally seen in Los Angeles, Paris and New York, has died at age 73. Viola died Friday at his home in Long Beach of Alzheimer’s disease, his website announced. What […]

3 hours ago

People reacting to near assassination attempt of Donald Trump at rally...

Associated Press

Governor says man killed at Trump rally was former fire chief who ‘died a hero’

A former fire chief attending the rally with family was killed, as was the gunman. Two other people were also critically wounded.

6 hours ago

Donald Trump being helped off rally stage...

Associated Press

Law enforcement: Bomb-making materials found in vehicle and home of Trump rally shooting suspect

Law enforcement officials told The Associated Press that bomb-making materials were found inside the vehicle of the man suspected in the Trump rally shooting. There were also bomb-making materials found at his home.

8 hours ago

President Joe Biden arrives on Air Force One at Andrews Air Force Base, Md., Saturday, July 13, 202...

Associated Press

Biden appeals for ‘unity’ after attempted Trump assassination, orders security review

President Joe Biden on Sunday appealed for the country to “unite as one nation” after the attempted assassination of Donald Trump.

8 hours ago

FILE - President Ronald Reagan waves and then looks up before being shoved into the President's lim...

Associated Press

Reagan survived an assassination attempt and his response changed the trajectory of his presidency

WASHINGTON (AP) — The would-be assassin got off six shots in 1.7 seconds, nearly taking the life of a president and changing the trajectory of a presidency. It happened on a dreary March afternoon in 1981. President Ronald Reagan was leaving the Washington Hilton hotel after giving a speech to a union group when John […]

9 hours ago

Sponsored Articles


Condor Airlines

Condor Airlines can get you smoothly from Phoenix to Frankfurt on new A330-900neo airplane

Adventure Awaits! And there's no better way to experience the vacation of your dreams than traveling with Condor Airlines.


DISC Desert Institute for Spine Care

Sciatica pain is treatable but surgery may be required

Sciatica pain is one of the most common ailments a person can face, and if not taken seriously, it could become one of the most harmful.


Collins Comfort Masters

Here’s 1 way to ensure your family is drinking safe water

Water is maybe one of the most important resources in our lives, and especially if you have kids, you want them to have access to safe water.

STDs are on the rise and this morning-after-style pill may help