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How one antibiotic morning-after pill came to be widely available in San Francisco
NPR KERA ^ | October 11, 2026 | April Dembosky

Posted on 10/21/2026 11:47:40 AM PDT by fwdude

An antibiotic morning-after pill has been shown to be effective for preventing STIs among gay men, but some doctors worry about antibiotic resistance. This story discusses STIs and their symptoms.

AYESHA RASCOE, HOST:

Research shows that a new morning-after pill for bacterial STIs is highly effective for gay men. A possible downside - it could lead to antibiotic-resistant superbugs. Note - this story mentions sexually transmitted infections and symptoms. KQED's April Dembosky reports from San Francisco.

APRIL DEMBOSKY, BYLINE: Tyler Toler (ph) has had the trifecta of bacterial STIs - chlamydia, gonorrhea and syphilis.

TYLER TOLER: Itching, burning, leaking, not able to swallow.

DEMBOSKY: Then there's the awkward conversations. Toler dreaded having to tell his partners he may have exposed them to an infection.

TOLER: Some people are like, yeah, cool. Thank you for letting me know. And then there's some people that think you're the dirtiest person in the face of the planet.

DEMBOSKY: When Toler heard there was an antibiotic pill that could solve all these problems, he wanted in. It's called Doxy PEP, short for doxycycline post-exposure prophylaxis. Toler takes it a day or two after sex without a condom, and he hasn't had an STI in three years.

TOLER: I can be as much of a promiscuous person as I possibly can and not have to worry about the ramifications as much.

DEMBOSKY: In 2022, San Francisco health officials began recommending Doxy PEP for gay men and trans women who'd had any bacterial STI in the last year. The Centers for Disease Control and Prevention later adopted the same approach. Across San Francisco last year, syphilis went down 24%. Chlamydia rates dropped 18%. But gonorrhea only dipped slightly, 5%. Gonorrhea has already built resistance to this class of antibiotics. Doctors like Annie Luetkemeyer from the University of California, San Francisco, fear the rapid uptake of Doxy PEP could make it worse.

ANNIE LUETKEMEYER: Need to be thoughtful about how we're using it. Antibiotics are an incredible resource. We all worry about antimicrobial resistance.

DEMBOSKY: Because of this, Luetkemeyer has heard from critics who say people should just use condoms instead. But she says doctors have tried that message, and people continue to have sex without condoms.

LUETKEMEYER: And if we just say, the only way you can protect yourself from HIV, from pregnancy, from STIs is using condoms, we're going to fail.

DEMBOSKY: Coming up with Doxy PEP policy is a balancing act, weighing the benefits of reduced STIs against the risk of cultivating antibiotic-resistant superbugs that are harder and harder to treat. Globally, these policies have varied. The U.S. chose to go abroad, but other countries have taken a more conservative approach. European and Australian health officials recommend Doxy PEP primarily for the prevention of syphilis. Sydney doctor Vincent Cornelisse was a co-author on Australia's position statement.

VINCENT CORNELISSE: I would argue that for gay men, there is no population-level benefit for getting chlamydia rates down.

DEMBOSKY: He says the consequences of syphilis can be dire - blindness, hearing loss, brain damage. Chlamydia, on the other hand, is more of a nuisance for men. He says doling out antibiotics to prevent it isn't worth it.

CORNELISSE: I think we need to be a bit tempered in recommending strategies to reduce chlamydia, when the strategies themselves might have adverse outcomes.

(SOUNDBITE OF POURING PILLS)

DEMBOSKY: At the Strut clinic in San Francisco, Dr. Hyman Scott and his colleagues offer Doxy PEP to everyone they think could benefit - men, women, gay, straight. City officials updated local guidance to match this approach in May.

(SOUNDBITE OF POURING PILLS)

HYMAN SCOTT: We cannot make the same mistakes with rollout that we made with PrEP.

DEMBOSKY: When the medication called PrEP came out to prevent HIV, Scott says officials placed a lot of restrictions on who should get it. It was so hard to access, and the guidelines were so confusing, by 2020, only a quarter of people in the U.S. who needed it were on it.

SCOTT: There's a lot of things now that we're trying to undo, I think, as a result of the way we did it originally.

DEMBOSKY: Scott says they want to reduce stigma. He reminds patients that antibiotics are already prescribed preventatively for Lyme disease and malaria. If the U.S. wants to reduce antibiotic use, he argues there's a better target.

SCOTT: It's in actually the food and livestock industry. That's where we have the kilograms and kilograms of these antibiotics being used.

DEMBOSKY: When it comes to the widespread offering of Doxy PEP, Scott says the benefits outweigh the concerns.

For NPR News, I'm April Dembosky in San Francisco.


TOPICS: Crime/Corruption; Culture/Society; News/Current Events; Philosophy
KEYWORDS: gaytruth; homosexualagenda; lgbtqtruth; liberaltruth

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Posted in its entirety, to avoid clicks to the source.

If you listen in on these homo-discussions, you soon realize how deranged this lifestyle really is.

1 posted on 10/21/2026 11:47:40 AM PDT by fwdude
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To: fwdude
An antibiotic morning-after pill has been shown to be effective for preventing STIs among gay men...

That's a shame.

2 posted on 10/21/2026 11:49:36 AM PDT by E. Pluribus Unum (The right of the Democrats to embezzle elections shall not be infringed. )
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To: fwdude

You also wonder how large the remedial health industry for accommodating unhealthy lifestyles is. But, not a problem, its funded federally!


3 posted on 10/21/2026 11:50:15 AM PDT by Wally_Kalbacken
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To: E. Pluribus Unum
That's a shame.

Not to worry, there's hope:

Gonorrhea has already built resistance to this class of antibiotics. Doctors like Annie Luetkemeyer from the University of California, San Francisco, fear the rapid uptake of Doxy PEP could make it worse.

4 posted on 10/21/2026 11:53:01 AM PDT by fwdude (Why is there a "far/radical right," but damned if they'll admit that there is a far/radical left)
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To: fwdude

The vector should have bee isolated at the very start of HIV/AIDS.

Instead the disease was given civil rights.


5 posted on 10/21/2026 11:55:33 AM PDT by BenLurkin (The above is not a statement of fact. It is opinion or satire. Or both.)
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To: fwdude
What is the difference between doxycycline and Doxy PEP?

The main difference is that doxycycline is an antibiotic, while Doxy PEP is a specific way of using that antibiotic to help prevent sexually transmitted infections (STIs) after sex. Doxy PEP does not contain a different drug; it uses the same doxycycline medication for a different purpose.

https://chatgpt.com/share/6ad90aa1-dc80-83e8-bce6-66fe71ea2d39

6 posted on 10/21/2026 11:55:48 AM PDT by E. Pluribus Unum (The right of the Democrats to embezzle elections shall not be infringed. )
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To: Wally_Kalbacken
You also wonder how large the remedial health industry for accommodating unhealthy lifestyles is.

Massive and growing. Obamacare makes "preventative" care fully funded by insurance carriers, i.e. the taxpayers. I remember a couple of decades ago when funding ANY AIDS meds or care was strictly taboo. That ship has sailed.

7 posted on 10/21/2026 11:57:56 AM PDT by fwdude (Why is there a "far/radical right," but damned if they'll admit that there is a far/radical left)
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To: fwdude
SCOTT: It's in actually the food and livestock industry. That's where we have the kilograms and kilograms of these antibiotics being used.

He completely misses the point of why we don't like HUMANS taking antibiotics if not needed. It's not about quantities it about developing strains of bacteria that are immune to the antibiotics. Cows and humans generally don't share the same diseases.

8 posted on 10/21/2026 12:03:31 PM PDT by for-q-clinton
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To: fwdude

you never hear about MonkeyButt Pox anymore


9 posted on 10/21/2026 12:05:11 PM PDT by Longdriver69
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To: fwdude
In the movie The Parallax View, reporter Joe Frady (played by Warren Beatty) asks a retired FBI agent is there's any drug that can death by what appears to be a heart attack.

The agent, played by Kenneth Mars, says there is, and it's called PEP, or "pulmonary embolism pill."

10 posted on 10/21/2026 12:10:39 PM PDT by Steely Tom ([Voter Fraud] == [Civil War])
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To: E. Pluribus Unum

Imagine what constant or frequent antibiotic use does to a faggot’s digestive tract. It basically nukes all the beneficial bacteria as well. No wonder they’re so prone to various diseases.

I read elsewhere that the microbiome of homosexuals’ digestive tracts differs markedly from normal people, to the point that if a forensic pathologist who knows nothing about the sexual habits of a body would know if it were a homosexual just by the biome in its gut.


11 posted on 10/21/2026 12:11:57 PM PDT by fwdude (Why is there a "far/radical right," but damned if they'll admit that there is a far/radical left)
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To: fwdude
All they have to do is get a prescription from the vet for their dog.


12 posted on 10/21/2026 12:15:06 PM PDT by E. Pluribus Unum (The right of the Democrats to embezzle elections shall not be infringed. )
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To: Longdriver69
you never hear about MonkeyButt Pox anymore

I formally call it "Monkeypox, formerly called MPox, formerly called Monkeypox."

13 posted on 10/21/2026 12:28:23 PM PDT by fwdude (Why is there a "far/radical right," but damned if they'll admit that there is a far/radical left)
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To: for-q-clinton
He completely misses the point of why we don't like HUMANS taking antibiotics if not needed.

He's simply playing the mandated game of denying the obvious.

14 posted on 10/21/2026 12:37:46 PM PDT by fwdude (Why is there a "far/radical right," but damned if they'll admit that there is a far/radical left)
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To: fwdude

“A possible downside - it could lead to antibiotic-resistant superbugs.”

Now that’s a side effect that society could do without.


15 posted on 10/21/2026 12:46:00 PM PDT by chickenlips (Dimocrats: Creating dependency since 1828)
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To: fwdude

Nasty subhumans.


16 posted on 10/21/2026 12:52:57 PM PDT by Old Yeller
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To: fwdude

Nasty subhumans.


17 posted on 10/21/2026 12:52:59 PM PDT by Old Yeller
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To: fwdude

Kind of a “take pleasure when I can” , slow moving, fatalistic, suicide/death wish.


18 posted on 10/21/2026 1:12:32 PM PDT by Getready (Wisdom is more valuable than gold and harder to find.)
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To: Getready

They’re not called “bug chasers” for nothing.


19 posted on 10/21/2026 1:32:47 PM PDT by fwdude (Why is there a "far/radical right," but damned if they'll admit that there is a far/radical left)
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To: fwdude

But just remember it is totally natural and normal buggering strangers.


20 posted on 10/21/2026 1:39:31 PM PDT by Organic Panic ( )
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