A man in his mid-20s presented to the outpatient clinic requesting testing for sexually transmitted infections (STIs). He reported having multiple male sex partners and engaging in oral and anal (both insertive and receptive) sex with inconsistent condom use. His medical history included an episode of gonorrhea, which was treated. His social history included occasional binge drinking but no injection or noninjection drug use. His vital signs and physical examination findings were within normal limits. Results of STI testing, including for chlamydia, gonorrhea, syphilis, and human immunodeficiency virus (HIV), were all negative. He was counseled on safer sex practices and moderation in alcohol consumption.
Lu PM, Shearer LS, Edelman EJ. Educating the Primary Care Clinician on Preexposure Prophylaxis for Human Immunodeficiency VirusA Teachable Moment. JAMA Intern Med. 2016;176(7):890-891. doi:10.1001/jamainternmed.2016.2225