A 30-year-old woman presents to the office with her partner and reports that they are...

Comprehensive and Detailed Explanation:

The Zika virus can be sexually transmitted and poses a serious risk of congenital Zika syndrome if infection occurs during pregnancy. The CDC and WHO recommend that couples delay conception for at least 3 months after potential male exposure due to the virus's persistence in semen.

Toronto Notes 2023 – Infectious Diseases / Travel Medicine:

“Zika virus may persist in semen for weeks. Couples should delay conception for 3 months after male exposure, even if asymptomatic.”

MCCQE1 Objectives (Public Health > 65-3: Travel Medicine and Reproductive Health):

“Candidates must counsel appropriately regarding risks of Zika in conception and apply current public health recommendations.”

Testing (B) is not reliable for asymptomatic individuals. Antivirals (E) are ineffective. Condoms (D) do reduce risk. Specialist referral (A) is not needed in most cases with no complications.

—