Are Doxy-PEP or PrEP Right for You?
Doxy-PEP and PrEP are STI-prevention tools that have moved from niche to mainstream in active lifestyle communities. They aren't for everyone, and they don't replace condoms or testing. This quiz surfaces whether to have the conversation with a sexual-health clinician.
Your testing cadence:
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Number of new partners in the last 6 months:
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Your bacterial STI history (chlamydia, syphilis, gonorrhea):
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Your demographic and play pattern:
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Access to a sexual-health clinician:
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Scoring
For each answer, A = 3, B = 2, C = 1, D = 0. Higher scores indicate stronger fit for the doxy-PEP / PrEP conversation. This is informational; actual prescribing decisions are made with a clinician.
Your result
- 12-15 — Have the conversation with a clinician. You match CDC criteria for at least one of these tools. Schedule a visit with a kink-aware sexual-health clinician; bring a brief play-pattern summary; ask about doxy-PEP first, then PrEP. The conversation is straightforward and most major US health systems have routine prescribing protocols.
- 8-11 — Worth raising at your next visit. You don't fully match the CDC explicit-recommendation criteria but several of your patterns make the conversation worthwhile. At your next sexual-health visit, raise it — "I'm active in the lifestyle, here's my play pattern, am I a candidate?" Let the clinician guide the decision.
- 4-7 — Lower priority — focus on testing and condoms. Your play pattern and history don't suggest urgent doxy-PEP or PrEP need. The higher-leverage steps for you are routine testing, consistent condom use with non-primary partners, and HPV vaccination if eligible. Revisit if your pattern changes.
- 0-3 — Standard safer-play is sufficient. Routine testing and condoms cover your risk pattern. Doxy-PEP and PrEP exist for higher-exposure profiles and aren't indicated for your current activity level. Maintain the standard safer-play checklist.