Sexually Transmitted Diseases (STDs)

Health Care Provider Alert: Shortage of Procaine Penicillin G; Alternate Treatment Regimens Recommended for Congenital Syphilis Treatment

The FDA has issued a drug shortage alert for Procaine Penicillin G (Pfizer Pharmaceuticals). Until this shortage is resolved, providers should consider using other alternate, recommended treatment therapies for congenital syphilis as listed in the CDC 2015 STD Treatment Guidelines. The NYS Department of Health has provided additional information in a Health Advisory .

Procaine Penicillin G is also an alternate treatment option for neurosyphilis and ocular syphilis. Providers should use the preferred treatement or another alternate treatment when the preferred treatment is not feasible.

For more information on the availability of Procaine Penicillin G, visit the FDA Drug Shortages website. More information on treatment recommendations for congenital syphilis, ocular and neurosyphilis is available in the CDC 2015 STD Treatment Guidelines.

The term sexually transmitted disease is used to cover the more than 25-30 infectious organisms that are spread through sexual activity. STDs are almost always spread from person to person by sexual activity. These infections are most easily spread by vaginal or anal intercourse, and sometimes by oral sex. Some STDs can also be spread through blood, particularly among intravenous (IV) drug users who may be sharing drug equipment (needles, syringes, or "works"). In addition, pregnant women with STDs may pass their infection to infants in the uterus (womb), during birth, or through breast-feeding.

Most people with STDs have no symptoms. Without treatment these diseases can lead to major health problems such as not being able to get pregnant (infertility), permanent brain damage, heart disease, cancer, and even death. If you think you have been exposed to a sexually transmitted disease, you and your sex partner(s) should visit a health clinic, hospital or doctor for testing and treatment.

Where to Go for STD Screening and Treatment

Many local and county health departments have clinics where you can get tested and treated for STDs. Some clinics are free, at others, you may have to pay to get STD testing and treatment. The STD Clinics in New York State page contains links to contact information for STD clinics organized by county. You also can call the National STD hotline (1-800-232-4636) to find a clinic near you.

Your doctor or health care provider may also do STD testing and treatment. See your doctor or health care provider right away if you have symptoms. If you do not have a doctor or health care provider and need to get tested right away, go to a local Urgent Care center, walk in clinic or hospital emergency room.

Information on STDs

Internet Resources

Provider Resources

Clinician Reporting Procedures

Treatment and Laboratory Guidelines

US Preventive Services Task Force Recommendations

Article 23 - Local Health Department STD Billing Guidance & Frequently Asked Questions

Expedited Partner Therapy

Update: On March 16, 2016, New York State Department of Health Commissioner Howard Zucker announced that prescriptions for Expedited Partner Therapy (EPT) are exempt from the NYS electronic prescription mandate. For full text of the letter, see the link below:

Partner Services for STD/HIV Prevention

Integrated STD, HIV and Viral Hepatitis Risk Assessment Questionnaire

Training and Reference


STD Materials Order Form