Accessing Care in the Sexual Health Clinic Flashcards
How are sexual attitudes and practices changing?
- Prevalence of same sex partners increased in women but not men
- Frequency of sex decreased (long term couples)
Why may patients NOT present to a sexual health clinic?
- worried about stigma/being judged
- worried about lack of confidentiality
What are the roles of a sexual health clinic?
- Diagnosis and management of STIs
- Partner notification
- Infection prevention
- Genital dermatology
- Contraception
- Community gynaecology
- Menopause
- Psychosexual counselling
Partner notification is voluntary. TRUE/FALSE?
TRUE
How long is the “look back” period for partner notification in chlamydia and gonnorhoea?
CHLAMYDIA
Symptomatic Male = 4 weeks
Any other infection = 6 months
GONNORHOEA
Symptomatic male = 2 weeks
Any other infection = 3 months
How long is the “look back” period in syphilis infection for partner notification?
If PRIMARY = 90 days (3 months)
If SECONDARY = 2 years
Why is partner notification not required for Genital Warts or Herpes?
No treatment is given if patient is asymptomatic
Why is partner notification not required for Vaginal thrush or Bacterial vaginosis?
These are not transmitted sexually
How are other sexually transmitted infections prevented in patients diagnosed with HIV?
Vaccinations
- Hep A/B
- HPV
What drugs are in PrEP and when can it be taken?
- Combination of Tenofovir / emtricitabine
- Daily or event-based dosing (before sex)
- High risk patients
What is PEP in relation to Hep B exposure?
Person can be given Hep B vaccine up to 7 days after exposure
(if people don’t respond to the vaccine they can be given immunoglobulins)
What PEP is given after exposure to HIV?
3 anti-retrovirals
- start up to 72 hrs after
- take for 28 days
How is rape defined by the law?
Penetration of the vagina, anus or mouth by the penis without consent
When is consent to sex invalidated?
If person is:
- Incapacitated by alcohol or drugs
- Incarcerated
- Violence or threat of violence
The perpetrator in a case of rape is usually known to the victim. TRUE/FALSE?
TRUE
What are the sequelae of rape?
- Injuries
- Unwanted pregnancy
- STI
Psychological: - PTSD
- Anxiety/depression
- Psychosexual morbidity
If a rape is recent, what tests and treatment would you offer?
- Consider forensic examination
- Check immediate safety
- Tend to Injuries
- HBV vaccination
- Consider PEP
- STI/pregnancy care
What is involved in the medium-long term management of patients who have been raped?
- Screening for STIs
- Assessment of coping abilities (PTSD - ask specifically)
- HBV vaccines if indicated
- Practical and psychosocial support
Who is most commonly affected by gender based violence?
Usually towards women/children
Usually by men
Give examples of gender-based violence
Domestic abuse Rape and sexual assault Childhood sexual abuse Commercial sexual exploitation Stalking/harassment Harmful traditional practices (eg. breast ironing)
What is the main risk factor for gender based violence?
female sex
What other factors can increase a person’s vulnerability with regards to gender based violence?
- Disability
- Pregnancy
- Addictions
- HIV
