What’s the latest on Syphilis, Doxy-PEP, M Gen and PID - Second Episode (2/2)
RACGP - The GP EditionShow Notes
What’s the latest on Syphilis, Doxy-PEP, M Gen and PID?
In this episode, we dive into the current syphilis outbreak in NSW and discuss why it’s crucial to increase the frequency of sexual health checks in general practice. We’ll also cover new guidance from the Australian Society for HIV Medicine (ASHM) on prescribing Doxy-PEP, including when it’s appropriate to use it.
You’ll hear firsthand from a patient about their experiences with sexual health care and using Doxy-PEP.
In the second part, we’ll walk you through a detailed case study on Pelvic Inflammatory Disease (PID), providing a clear, step-by-step approach for assessment and management in general practice. Plus, get the latest updates on mycoplasma genitalium (M Gen) – including testing and treatment recommendations.
Discover why it’s vital to offer comprehensive sexual health testing to all sexually active patients and get tips on how to discuss this important topic with different patient groups.
Resources Referenced in Podcast:
1. Australian STI Management Guidelines (sti.guidelines.org.au/ ) 2. NSW Sexually Transmissible Infections Data Report: January to December 2022 (https://www.health.nsw.gov.au/Infectious/Reports/Publications/sti/nsw-2022-sti-report.pdf) 3. ASHM: Decision Making In Syphilis clinical decision-making tool (https://ashm.org.au/resources/syphilis-decision-making-tool/) 4. NSW Sexual Health Clinics contact list (https://www.health.nsw.gov.au/sexualhealth/Pages/sexual-health-clinics.aspx) 5. ASHM Training: NSW Introduction to Syphilis for Midwives and Clinicians Providing Antenatal Care (https://ashm.org.au/training/nsw-introduction-to-syphilis-for-midwives-and-clinicians-providing-antenatal-care/) 6. ASHM: 2023 Consensus Statement on doxycycline prophylaxis (Doxy-PEP) (https://ashm.org.au/about/news/doxy-pep-statement/) 7. Play Safe Pro: Resource Order Page (https://pro.playsafe.health.nsw.gov.au/promotional-resources-2/order) 8. Contact tracing notification tools: a. Let Them Know (https://letthemknow.org.au/) b. The Drama Down Under (https://www.thedramadownunder.info/) c. Better to Know (https://www.bettertoknow.org.au/)
More from RACGP - The GP Edition
Sexual health is a routine part of general practice, yet many GPs report finding it challenging to raise the topic or decide what tests to order and how to manage results. In this podcast, experts discuss practical approaches to sexual health testing and treatment in general practice using common clinical scenarios. The episode explores when to offer STI testing, how to take a focused sexual history, appropriate investigations, and evidence-based treatment and follow-up, helping GPs feel more confident integrating sexual health care into everyday consultations. Website Title Website Address 1 Australian PrEP Guidelines https://prepguidelines.com.au/ 2 Medicare Ineligible PrEP – Sexual Health Info Link (SHIL NSW) https://www.shil.nsw.gov.au/general-public/medicare-ineligible-prep 3 Decision Making in PrEP – ASHM https://ashm.org.au/resources/decision-making-in-prep/ 4 The Choice of PrEP Schedule: Daily versus On-Demand PrEP – Australian PrEP Guidelines https://prepguidelines.com.au/goals-of-prep/the-choice-of-prep-schedule-daily-versus-on-demand-prep/ 5 Australian PEP Guidelines https://pep.guidelines.org.au/ 6 Multicultural HIV and Hepatitis Service (MHAHS) https://mhahs.org.au/ 7 Syphilis – Australian STI Management Guidelines https://sti.guidelines.org.au/sexually-transmissible-infections/syphilis/ 8 Mpox (Monkeypox) – Australian STI Management Guidelines https://sti.guidelines.org.au/sexually-transmissible-infections/monkeypox/ 9 Sexual Health Info Link (SHIL NSW) https://www.shil.nsw.gov.au/ 10 DoxyPEP Decision-Making Tool (July 2025 PDF) – ASHM https://ashm.org.au/wp-content/uploads/2025/07/DoxyPEP-DMT-July-2025_WEB_202507.pdf 11 Doxy-PEP Decision-Making Tool – ASHM https://ashm.org.au/resources/doxy-pep-decision-making-tool/ 12 Decision Making in PrEP – ASHM https://ashm.org.au/resources/decision-making-in-prep/
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