Transparent, upfront pricing for every visit. No subscriptions, no surprise fees. Your consultation fee covers the provider visit, the treatment plan, and your prescription sent to the pharmacy of your choice. Medication costs are separate and paid at your pharmacy, most generic prescriptions are affordable with or without insurance.
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What's included: Provider consultation, treatment plan, and prescription.
Chlamydia is one of the most common bacterial STIs in the U.S. and is often symptomless, which is why testing and treatment matter. Untreated chlamydia can lead to pelvic inflammatory disease, infertility, and increased HIV risk. Common symptoms when present include burning during urination, unusual discharge, and pelvic or testicular pain.
How we treat it: Our licensed provider reviews your symptoms, exposure history, and any recent test results, then prescribes a standard antibiotic regimen.
Gonorrhea is a common bacterial STI that often occurs alongside chlamydia. Many people have no symptoms, but when present, symptoms include painful urination, abnormal discharge, and pelvic discomfort. Untreated gonorrhea can cause serious complications including infertility and disseminated infection.
How we treat it: Treatment for gonorrhea through Telehealth services involve oral antibiotics.
Because Chlamydia and Gonorrhea frequently occur together, the CDC often recommends treating both at the same time when either is suspected or confirmed. This combo visit covers a single consultation, dual treatment plan, and prescriptions for both infections.
How we treat it: Our provider reviews your symptoms and exposure, then prescribes the appropriate antibiotic regimen for both infections.
Trichomoniasis ("trich") is a common parasitic STI that causes vaginal itching, frothy discharge, and discomfort during urination or sex. Many men have no symptoms but can still transmit it. Trich is fully curable with prescription antibiotics.
How we treat it: Our provider prescribes a single-course antibiotic (typically metronidazole or tinidazole) sent to your preferred pharmacy. Both partners should be treated to prevent reinfection.
Bacterial vaginosis is a common vaginal condition caused by an imbalance of bacteria. It's not technically an STI but is often grouped with sexual health concerns because sexual activity can trigger it. Symptoms include thin, grayish discharge, fishy odor, and itching or burning.
How we treat it: Our provider reviews your symptoms and prescribes an antibiotic — typically oral metronidazole or topical clindamycin — sent to your pharmacy.
A first Herpes outbreak are often the most painful, with clusters of blisters or sores, flu-like symptoms, and discomfort during urination. Early antiviral treatment shortens the outbreak and reduces severity.
How we treat it: Our provider prescribes an antiviral medication (acyclovir, valacyclovir, or famciclovir) for short-term episodic treatment. Earlier treatment leads to faster relief — many patients see improvement within 24-72 hours.
For patients with recurrent outbreaks or those wanting to reduce transmission risk to partners, daily suppressive antiviral therapy is highly effective. It can reduce outbreak frequency by 70-80% and lower transmission risk.
How we treat it: Our provider prescribes a daily antiviral (typically valacyclovir) tailored to your outbreak history and preferences.
Mycoplasma Genitalium is an emerging STI that's increasingly recognized as a cause of urethritis, cervicitis, and pelvic inflammatory disease. Symptoms can mimic chlamydia or gonorrhea (discharge, painful urination, and pelvic pain) but it requires different antibiotics.
How we treat it. Our provider reviews your symptoms and any test results, then prescribes the appropriate antibiotic regimen (typically a sequenced course of doxycycline followed by azithromycin or moxifloxacin, depending on re
Ureaplasma is a bacterial infection that can cause urethritis, vaginitis, and in some cases fertility issues. Symptoms overlap with other STIs and include burning during urination, unusual discharge, and pelvic discomfort.
How we treat it: Our provider prescribes a targeted antibiotic course, typically doxycycline or azithromycin, based on your symptoms and history.
DoxyPEP is a single dose of doxycycline taken within 72 hours of unprotected sex to reduce the risk of bacterial STIs (chlamydia, gonorrhea, and syphilis). It's been shown to cut the risk of these infections by roughly two-thirds in clinical studies and is recommended by the CDC for certain high-risk populations.
How we treat it: Our provider reviews your sexual health history and risk profile to determine if DoxyPEP is right for you, then prescribes doxycycline to keep on hand for use after pote
What's included: Provider consultation, treatment plan, and prescription. Symptom relief medication can also be prescribed.
Urinary tract infections in women are extremely common in women: Over half will experience one in their lifetime. Symptoms include burning during urination, frequent urgency, cloudy or strong-smelling urine, and pelvic pressure. Most uncomplicated UTIs resolve quickly with antibiotics.
How we treat it: Our provider reviews your symptoms and history, then prescribes a short course of antibiotics (typically nitrofurantoin or trimethoprim-sulfamethoxazole) sent to your pharmacy.
Urinary Tract Infections in Men are less common than in women but can be more complicated and often warrant a longer treatment course. Symptoms include burning during urination, urgency, and lower abdominal or testicular discomfort.
How we treat it: Our provider evaluates your symptoms and prescribes an appropriate antibiotic regimen. Because UTIs in men can sometimes signal underlying issues, we'll discuss whether further evaluation is recommended.
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Vaginal yeast infections cause itching, burning, and thick white discharge. They're common, easily treated, and not sexually transmitted. While over-the-counter options work for many people, prescription treatment is often faster and more reliable, especially for recurrent or stubborn cases.
How we treat it: Our provider prescribes oral fluconazole (a single dose for most cases) or a topical antifungal, depending on your situation.
Bacterial vaginosis is a common vaginal condition caused by an imbalance of bacteria. It's not technically an STI but is often grouped with sexual health concerns because sexual activity can trigger it. Symptoms include thin, grayish discharge, fishy odor, and itching or burning.
How we treat it: Our provider reviews your symptoms and prescribes an antibiotic — typically oral metronidazole or topical clindamycin — sent to your pharmacy.
We prescribe a wide range of hormonal birth control options including combination pills, progestin-only pills, the patch, and the ring. Our providers help you choose the method that fits your medical history, lifestyle, and preferences.
How we treat it: Our provider reviews your medical history, blood pressure (you'll need a recent reading), and preferences, then prescribes a method appropriate for you.
We prescribe a wide range of hormonal birth control options including combination pills, progestin-only pills, the patch, and the ring. Our providers help you choose the method that fits your medical history, lifestyle, and preferences.
How we treat it: Our provider reviews your medical history, blood pressure (you'll need a recent reading), and preferences, then prescribes a method appropriate for you.
Already on a hormonal birth control method that works for you? We'll refill your prescription quickly without the hassle of an in-person visit, as long as your medical history hasn't significantly changed and you have a recent blood pressure reading.
How we treat it: Our provider reviews your current method, any side effects, and your overall health, then refills your prescription.
Have a vacation, wedding, athletic event, or special occasion coming up? Menstrual suppression lets you safely skip or delay your period using short-term hormonal medication.
How we treat it: Our provider reviews your menstrual history, current medications, and medical background to determine the best approach.
What's included: Provider consultation, treatment plan, and prescription. We'll also discuss any underlying causes that may benefit from further evaluation.
Erectile Dysfunction (ED) affects men of all ages and can have physical, psychological, or mixed causes. Effective oral medications are available for most men, and our providers help determine which is right for you based on your medical history and other medications.
How we treat it: Our provider reviews your symptoms, medical history, and any other medications, then prescribes a PDE5 inhibitor (sildenafil, tadalafil, or vardenafil) appropriate for your situation.
Premature ejaculation is one of the most common male sexual health concerns and is highly treatable. Options include topical anesthetics, oral medications (off-label SSRIs), and behavioral techniques.
How we treat it: Our provider reviews your concerns and prescribes the most appropriate treatment, which may include topical lidocaine spray or oral medication taken as needed.
Jock Itch is a common fungal infection of the groin that causes red, itchy, ring-shaped rashes. It's easily treated with antifungal medications.
How we treat it: Our provider prescribes a topical or oral antifungal (typically clotrimazole, terbinafine, or fluconazole) based on the severity and extent of the rash.
Balanitis is inflammation of the head of the penis (and sometimes the foreskin), most often caused by yeast or bacterial overgrowth, irritation, or poor hygiene. It's especially common in uncircumcised men. Symptoms include redness, itching, soreness, swelling, discharge, and discomfort during urination or sex.
How we treat it: Our provider reviews your symptoms and likely cause, then prescribes treatment: typically a topical antifungal (like clotrimazole) for yeast-related cases, a topical or or
Hyperhidrosis is excessive sweating beyond what's needed to regulate body temperature, most commonly affecting the underarms, palms, soles, or face. It can interfere with daily life, work, and confidence — but effective prescription treatments are available.
How we treat it: Our provider reviews your symptoms, severity, and any prior treatments, then prescribes the appropriate option — typically prescription-strength topical antiperspirants (aluminum chloride) or oral or topical glycopyrrolate.
If you've been diagnosed with a treatable STD/STI through Down There Health Care, we can also treat your sexual partner(s) at half the original visit price, without requiring a separate full consultation. This is called expedited partner therapy (EPT) and is endorsed by the CDC as a way to reduce reinfection and stop transmission.
How it works: During your visit, let your provider know you'd like partner treatment included. Your partner will receive treatment as well.
Pricing covers the provider consultation, treatment plan, and electronic prescription only. Medication costs vary by pharmacy and insurance and are paid separately at your pharmacy. Down There Health Care does not sell or distribute medications. Treatment is at the provider's clinical discretion based on your individual evaluation; not all patients will be candidates for every treatment listed. Services are available only to patients located in states where our providers are licensed.
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