Expert Care for Sexually Transmitted Infections in Brazil
At My Brazilian Doctor, we understand that dealing with Sexually Transmitted Infections (STIs) can be a sensitive and often urgent matter. That's why we offer convenient, confidential same-day teleconsultations, 7 days a week. We are here to assist you in testing, prescribing treatment, and preventing STIs, no matter where you are in Brazil. Skip the queues, language barriers, and the inconvenience of commuting with telemedicine for STI care.
Our approach for STI Treatment
When it comes to treating STIs, My Brazilian Doctor adopts the approach based on Syndromic Management which is based in evidences and in accordance with International Protocols. It means is it possible to prescribe medications safelly based on your symptoms, allowing immediate treatment and not delaying until lab tests are available and ready to be released.
These medications are readily available at pharmacies across Brazil, making it easier for you to get started on your treatment when you receive an online prescription note, immediatelly after your videoconsultation. This document is signed with a digital certificate and is valid on any pharmacies in Brazil.
It is important to mention that antibiotics are instantly available at pharmacies in Brazil if you have a medical prescription issued by a local doctor, eliminating the wait often required in other countries.
If your treatment requires an antibiotic injection, we can prescribe it and assist in locating a place for administration. In some locations across Brazil, health professionals in pharmacies can administer the injection, or we can guide you to a nearby health center where you can receive it free of charge. To facilitate communication and expedite the process, we can provide a referral letter in Portuguese.
Additionally, in certain areas, it's possible to arrange for a nurse to apply the injection at your location, though this may incur an additional fee. While most STD treatments offer oral antibiotic alternatives, injections are primarily necessary for Syphilis treatment or if you prefer intramuscular administration.
Concurrently, we'll also request laboratory tests as soon as you can get access to it, and confirm the diagnosis and tailor future additional interventions.
Syndromic Management for STIs is an evidence-based approach that is widespread by many trustworthy institutions, including World Health Organization.
Instant Treatment: Following your consultation, you will receive a legally valid digital prescription signed via Bird-ID (ICP-Brasil standards). This secure document is sent directly to your email and is accepted at every pharmacy across Brazil, allowing you to start your treatment immediately without the need for paper documents.
Expert Care for Sexually Transmitted Infections
Gonorrhea treatment
Gonorrhea treatment is essential and should not be delayed. If you test positive for gonorrhea or present symptoms consistent with urethral syndrome—such as burning sensations during urination and unusual discharge—immediate treatment is recommended and the first option of antibiotic is Ceftriaxone (oral medications can be prescribed alternatively). International guidelines advise against postponing treatment or waiting for test results, which in Brazil typically take 4-5 days to be released. At My Brazilian Doctor, we ensure prompt care by providing a same-day digital prescription. This allows you to start your treatment without delay, ensuring effective management of the infection and reducing the discomfort and risk of complications.
Syphillis treatment
Syphilis treatment should be promptly considered if you experience genital sores or ulcers, as well as general symptoms like skin rash, tiredness, and headaches. Diagnosis can be done through conventional lab tests, which require a medical request that we send digitally, or through rapid tests available at specific pharmacies in Brazil. Treatment for syphilis involves a penicillin shot, which can be prescribed electronically. Depending on your location, we can guide you to the nearest facility to receive the injection. If a rapid test is available, you can start your syphilis treatment on the same day, ensuring timely and effective care.
Herpes treatment
If you notice pimples or sores on your penis, vagina, or anus, it could be a sign of genital herpes. While lab tests for herpes are not mandatory, they can be done to confirm the diagnosis and guide follow-up interventions. However, treatment for genital herpes can and should start even without test results. Testing can involve a swab from the sores or blisters or a blood sample to detect antibodies. However, antibodies may not appear until three to six months after the initial outbreak, making early testing less useful. Treatment is most effective when started in the first days of symptoms or as soon as possible. Pain management is also crucial, as the pain, often described as a burning sensation, can be intense and may require mild or strong painkillers. The primary antiviral drugs used for treatment are Acyclovir and Valaciclovir. In Brazil, you can receive a digital prescription for these medications and start your treatment on the same day.
Chlamydia treatment
Chlamydia treatment at My Brazilian Doctor is initiated based on a positive test result from an STD Panel, which analyzes urine or genital discharge samples. If you experience symptoms such as burning during urination, it is crucial to get tested. Upon confirmation, the first-choice antibiotic for treating chlamydia is Azithromycin. Our services enable you to receive a digital prescription, ensuring that you can start your treatment on the same day. This streamlined process provides prompt and effective care, helping to alleviate symptoms and prevent further complications.
STI Testing
During your consultation, the doctor will evaluate your symptoms and risk factors to determine what tests are appropriate for you, always considering STI prevalence in Brazil.
Sometimes it can seems that test request is simple, however, It is important to remember that there is a wide range of STDs tests and methods considering different infections and methods used.
That is why labs in Brazil require a medical request indicating what is the specific test to be done. This avoid a present infection not being detected (false-positive) or preventing waste of time and money doing a wrong test.
With a teleconsultation our doctor will identify the tests recommended, and you will receive a digitally signed medical request, enabling you to get the best option test for your case.
Depending on the specific STI, tests may include blood, urine, or secretion samples (if they are present). Some diseases can be tested through swabs, which can be urethral, vaginal, anal or from the through, considering sexual activity and the human sexual diversity. That is one more reason it is important the test to be specific and chosing the right options should count with a trained health professional.
The choice of test also depends if symptoms are present of not, and the time elapsed since the unprotected sexual encounter.
Conveniently, we can identify labs close to your location in Brazil to streamline the testing process. It's essential to note that Brazilian laboratories require a medical request to proceed with any STI testing.
When your results are released you will have a follow-up contact with our doctor (without any extra cost) to fully understand it and check if any other measures are required. All the assistance provide will be in English ensuring full understanding and avoiding mistakes.
STI Prevention
While treatment and testing are crucial, prevention is the best medicine. At My Brazilian Doctor consultation the doctor can identify and prescribe useful vaccinations tailored to your profile against certain STIs (such as HPV and Hepatitis A & B Vaccine). HPV vaccination is beneficial to prevent HPV strains related to increased risk of cancers. If you had a recent sexual contact without protection we can also help you to start PEP (Post-Exposure Prophylaxis) and we can assist you on the process to access these drugs.
Let My Brazilian Doctor be your trusted partner in STI management, offering a comprehensive, confidential, and convenient service.
Written by Dr. Fábio Luiz Vieira, MD (Family Medicine Specialist, RQE 31053).
Medically reviewed by Dra. Anete Augusta Fioranelli de Paula, MD (Internal Medicine Specialist, CRM 94656). Last updated: January 28, 2026.
Responsible for the content:
Dr. Fabio L Vieira is a Family Physician licensed in Brazil, with over 20 years of experience across Brazilian and UK healthcare systems. He holds a master’s degree from Imperial College London and has a strong clinical interest in sexually transmitted infections and travel-related healthcare. As principal consultant at My Brazilian Doctor, he provides personalized care for English-speaking travelers and expatriates in Brazil.
References:
1. World Health Organization (WHO). (2021). *WHO guidelines on physical activity and sedentary behaviour: At a glance*. World Health Organization.
https://www.who.int/publications/i/item/9789240024168
2. Miranda AE, Freitas FLS, Passos MRL, Lopez MAA, Pereira GFM. Public policies on sexually transmitted infections in Brazil. Rev Soc Bras Med Trop. 2021 May 17;54(suppl 1):e2020611. doi: 10.1590/0037-8682-611-2020. PMID: 34008725; PMCID: PMC8210478. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8210478/
3. National Cancer Institute (NCI). (n.d.). *HPV and cancer*. National Institutes of Health. https://www.cancer.gov/about-cancer/causes-prevention/risk/infectious-agents/hpv-and-cancer
