What is patient delivered partner therapy (PDPT)?
PDPT is when a person diagnosed with genital chlamydia is given antibiotic treatment — or a script for it — to pass directly to their recent sexual partner, so the partner can be treated without attending their own appointment first. It’s a recognised, evidence-based approach supported in Victoria, designed to make sure partners of people with chlamydia actually get treated by removing the barrier of a separate visit.
Why is PDPT used for chlamydia?
Chlamydia is common and often symptomless, so a partner can be infected without knowing. If they’re not treated, they can reinfect you after your own treatment (a “ping-pong” cycle) and pass it to others, sometimes leading to complications. Many partners never make it to a clinic. PDPT bridges that gap so a partner who might otherwise go untreated actually gets treatment quickly.
Is PDPT effective?
Yes. Clinical trials have shown that treating partners of people with chlamydia this way — using a single-dose oral antibiotic — is an effective, well-studied way to clear chlamydia in the partner. It’s been studied specifically for this purpose and is endorsed in Victorian clinical guidance. A clinician confirms it’s suitable for your partner before providing it, and it comes with written information on how to take it and what to watch for.
Can PDPT be used for other STIs?
No. PDPT is only for genital chlamydia. It should not be used for gonorrhoea, syphilis, HIV, Mycoplasma genitalium or other infections, which need the partner to be properly tested and often treated differently or in a clinic. If you’ve been diagnosed with more than one infection, or something other than chlamydia, your partner needs to be seen and tested rather than simply given treatment to take.
Who is PDPT suitable for?
A clinician decides, but PDPT is generally suitable when you’ve been diagnosed with genital chlamydia, your partner is unlikely or unable to attend a clinic promptly, your partner has no symptoms suggesting a complication, no known allergy to the antibiotic, and is an adult. Your clinician will ask a few questions about your partner to check it’s appropriate. Your partner is still encouraged to have their own sexual health check.
When should my partner see a doctor instead of taking PDPT?
Your partner should be seen rather than just taking PDPT if they have symptoms (pain passing urine, discharge, pelvic or testicular pain, pain during sex), are or might be pregnant or are breastfeeding, have an allergy to the antibiotic or take treatment that might interact, might have another STI or want a full check, or are under 16. In these situations, being seen in person is the safest option, and a clinic can help arrange it.
How does PDPT work in practice?
If PDPT is appropriate, your clinician discusses the ways of notifying and treating partners, and if you agree it’s the right choice, provides the treatment (or a script) for you to give your partner, along with a written information sheet. You pass the treatment and information to your partner. The sheet explains what it’s for, how to take it, what to avoid, and when to see a doctor instead. It’s simple, discreet and quick.
What should my partner know before taking it?
They should take the treatment as directed (a single dose for chlamydia), read the information sheet and not take it if any caution applies (such as an allergy or possible pregnancy — see a clinician instead), avoid sex for 7 days after both partners are treated, and ideally get their own sexual health check too. They should see a doctor rather than relying on the tablet if they have symptoms, are pregnant, have an allergy, or are unsure.
Should my partner still get tested?
Yes, ideally. PDPT treats the chlamydia, but it isn’t a substitute for a full sexual health check, which can pick up other infections a partner may not know they have. So while PDPT is a great way to get a partner treated quickly, encouraging them to also have their own check-up is worthwhile. The two aren’t mutually exclusive — a partner can take the treatment and still get tested.
How long should we avoid sex?
Both you and your partner should avoid sex for 7 days after you’ve each been treated. This is important — having sex before both of you have completed treatment and waited the seven days is a common way chlamydia gets passed back and forth. Waiting the full seven days after both partners are treated is what breaks that cycle and keeps the infection from returning.
What are the other ways to tell partners?
Besides PDPT, you can tell partners yourself and suggest they get tested and treated, use clinic-assisted notification (where the clinic helps you work out how), or use anonymous notification services — websites and tools that send a partner an anonymous message suggesting they get checked, if you’d rather not tell them directly. A clinician can talk you through these. The goal is simply that partners get treated, however that best happens.
Do I need to be retested after treatment?
A repeat chlamydia test about three months after treatment is recommended. This isn’t to check the treatment worked — it almost always does — but to catch reinfection early, which is common. Treating your partner properly, through PDPT or another route, and both of you avoiding sex for 7 days after treatment, is the best way to prevent that reinfection in the first place.
Is PDPT available in Victoria?
Yes. PDPT for chlamydia is supported by Victorian health authorities as one of a range of recognised options for treating the partners of people diagnosed with chlamydia, with clinical guidance for practitioners on using it appropriately. Your clinician will decide with you whether it’s the right choice in your situation, and can also explain the other partner notification options available.