PrEP & Doxy-PEP in Portland
Good sexual health care should be easy to get and free of judgment — and it should include the prevention tools that actually work. This practice prescribes PrEP for HIV prevention and doxy-PEP for bacterial STI prevention, with the lab work and follow-up done properly and none of the awkwardness. Whether you're starting PrEP for the first time, transferring an existing prescription, or you've heard about doxy-PEP and want it from a doctor who actually knows what it is, this is a straightforward place to get it handled.
Overview
WHAT THIS COVERS
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Sexual health and prevention, including:
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PrEP — daily oral medication to prevent HIV, with the required baseline and quarterly lab monitoring built into your care
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Doxy-PEP — doxycycline taken after sex to sharply reduce the risk of syphilis, chlamydia, and gonorrhea
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STI testing and treatment, judgment-free
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Transfer of an existing PrEP prescription without a gap
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Help navigating cost — PrEP is covered without cost-sharing by most insurance plans, and assistance programs exist for the uninsured
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The rest of your health too — this is a primary care practice, so your sexual health care doesn't have to live in a silo
WHAT TO EXPECT
Starting PrEP begins with baseline labs — HIV and kidney function among them — then a prescription and quarterly follow-up testing, most of which can be handled efficiently once you're established. Doxy-PEP is simpler still: a conversation about whether it fits your situation, a prescription, and periodic STI screening. Visits are available in person in Portland or by telehealth across Oregon and Washington, and follow-ups are quick once you're set up.
COMMON QUESTIONS
What is doxy-PEP, exactly?
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It's doxycycline — a common antibiotic — taken as a single dose within 72 hours after sex, which substantially reduces the risk of syphilis, chlamydia, and gonorrhea. It's a newer prevention tool with strong evidence behind it, recommended in current public health guidance for people at elevated risk of bacterial STIs. Not every situation calls for it, which is what the first conversation is for.
Is PrEP expensive?
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Usually not. Most insurance plans are required to cover PrEP and its associated labs without cost-sharing, and for the uninsured, assistance programs can bring the medication cost to little or nothing. The visit itself is direct-pay — see the pricing page — and part of getting you started is making sure the medication side costs you as little as possible.
When should I start the process?
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Before you need it. PrEP requires baseline labs before the first prescription, and on-demand dosing only works if the medication is already in your medicine cabinet — the protocol starts hours before sex, not after. The same goes for doxy-PEP, which has to be taken within 72 hours. The right move is to get established, get the prescriptions, and have them ready; this isn't care that works well as a last-minute scramble.
Do you take insurance?
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This is a direct-pay practice, so visits are paid out of pocket at transparent flat rates — see the pricing page. Many patients use HSA or FSA funds, and I can provide a superbill you can submit to your insurance for possible out-of-network reimbursement. Prescriptions and labs can still be billed to your insurance as usual.
Do you see patients in Washington?
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Yes — I'm licensed in both Oregon and Washington and see Washington patients by telehealth. Prescriptions go to your local pharmacy, and lab work can be done near you.