The ability to maintain an erection is important to one’s sexual health. This evaluation will assess common causes of erectile dysfunction and recommend a treatment.

Common medications used: Sildenafil (Viagra) and Tadalafil (Cialis)

Recommended follow-up: Every 3 months

Hair loss can impact one’s self-image and gender-affirming care. This evaluation will assess common causes of hair loss and recommend a treatment.

Common medications used: Finasteride (Propecia)

Recommended follow-up: Every 3 months  

Wrinkles and hyperpigmentation come with age, but they can be bothersome. Using a tretinoin cream can help rude the appearance of wrinkles and hyperpigmentation. There are no labs needed for tretinoin.

Common medications used: tretinoin 0.025% and tretinoin 0.05% (max 48 months)

Recommended follow-up: Every 3-6 months

Using doxycycline as Post-Exposure Prophylaxis within 72 hours after a sexual encounter can reduce the risk of getting syphilis, chlamydia, and gonorrhea. This evaluation will discuss how to reduce your risk of sexually transmitted infections (STIs). Doxy-PEP may require a pregnancy test before starting the antibiotic if needed.

Common medication used: Doxycycline

Recommended follow-up: Every 6 months

Pre-Exposure Prophylaxis is an important tool to take control of your sexual health and prevent HIV. This evaluation will discuss how to reduce your HIV risk. Being on PrEP requires access to lab work in addition to the cost of the medication.

Common medications used: emtricitabine/Tenofovir DF (Truvada), emtricitabine/tenofovir AF (Descovy)

As a Telehealth provider, the injectable Cabotegravir (Apretude) is not offered.

Recommended follow-up: 1 month, then every 3-6 months

If you are worried you may have been exposed to HIV during condomless sex while not taking PrEP, starting taking HIV medications within 72 hours after sex can reduce your chances of getting HIV. The sooner you start medications after exposure, the better it works. This evaluation will assess your risk and if PEP is needed. PEP does not need immediate labs to start but will require initial labs and follow-up labs. PEP is an urgent situation. If you cannot get an appointment within the exposure window (72hr), please go to the emergency room or another clinic to start PEP.

Common medications used: bictegravir/emtricitabine/tenofovir AF (Biktarvy), Dolutegravir (Tivicay), emtricitabine/Tenofovir DF (Truvada), emtricitabine/tenofovir AF (Descovy)

Recommended follow-up: 1 month and 6 weeks

Staying on HIV medications is important to maintain one’s health and ensure one is not able to transmit HIV to their sexual partners (Undedetecatable equals untransmittable / U=U). If you just moved to Oregon or you are visiting Oregon and are about to run out of HIV medications before finding a provider, Pink Health can provide an up to 3-month bridge of medications. Ongoing HIV care is not available. The medications are costly if you are uninsured, but there are pharmaceutical benefit programs that you may be eligible for. There is a cost for the lab work, but new lab work may not be necessary if you recently had lab work done..

Common medications used: All HIV medications

Recommended follow-up: Monthly until you establish care

Hepatitis C is curable and no one should have to live with it. Curing your Hep C prevents you from spreading it to others and reduces your chances of having liver problems. Hep C is easily cured in 8-12 weeks. Lab work is needed. Uninsured people may apply for free medication from the manufacturer.

Common medications used: Glecaprevir-Pibrentasvir (Mavyret) and Sofosbuvir-Velpatasvir (Epclusa)

Recommended follow-up: Monthly

Uncomplicated urinary tract infections (UTI) can be frustrating to deal with but can be easily treated. If you have a fever, have low back pain, or were assigned male at birth, you may have a more complicated infection that needs additional testing and IV antibiotics that can not be given through telehealth. If you have a fever and chills, you should go to the emergency room.

Common medications used: Trimethoprim/ Sulfamethoxazole, or Nitrofurantonin, with or without phenazopyridine for pain

Recommended follow-up: None if symptoms resolve

Emergency contraception can help reduce the chances of becoming pregnant when taken within 3-5 days after any sexual contact with a potential for pregnancy. Emergency contraception is not an abortion as it prevents pregnancy from occuring in the first place. Accessing an Intrauterine Device (IUD) is the most effective emergency contraception, especially if you have a higher weight, but using hormonal emergency contraception can help. Some medications (such as Plan B) are over-the-counter without a prescription and must be used within 72hrs. Some research shows that Plan B may be less effective if you have a higher weight. Labs are not needed, but a follow-up pregnancy test is encouraged.

Common medication used: Ulipristal (Ella)

Recommended follow-up: 3 weeks if you don’t have your period

Many folks have herpes, but we don’t always talk about it. Having an outbreak can be painful and impact your sexual health. Someone can take herpes treatment only when they are experiencing an outbreak or signs that an outbreak is coming, or they could take herpes treatment daily to reduce the frequency and severity of their outbreaks. There are no labs needed for herpes treatment.

Common medications used: Valacyclovir

Recommended follow-up: Every 12 months