Once is never enough. Unless.....

If newFNP were to be flippant, she would counsel that if you have to acquire an STI, chlamydia is the way to go. Think about it, 1g of Azithromycin and, if you treat it early, you're likely good to go. This is in contrast to say, Lymphogranuloma venereum, which is, in fact, caused by C. trachomatis but appears to be much, much worse. Or ophthalmic gonorrhea in which your eye tries to kill itself by drowning itself in pus.

OK, enough of that fun mental image and back to chlamydia.

It's no big epidemiological secret that chlamydia is widespread in young sexually active people, much like their legs, newFNP presumes. NewFNP treats it on a fairly regular basis. In addition, she dispenses partner therapy in order to nip that drip in the bud.

So when newFNP diagnosed her new prenatal patient with chlamydia on her routine OB labs, she happily dispensed an extra gram of azithromycin for this young woman to give to her partner. She counseled pelvic rest for at least a week and instructed this woman to come back three weeks later for her routine OB physical and pap.

She returned, and guess what else did?

Where newFNP must have failed was in not dispensing an extra dose to treat her partner's partner. NewFNP will find out tomorrow when her patient returns for a second course of treatment and, perhaps, some frank discussion regarding the asshole who is re-infecting her.