HISTORY: Sexual Flashcards
1
Q
When should you take a sexual history?
A
If the presenting complaint is sexual or if they have medical/social problems with a sexual component
2
Q
What should you ask in general in a sexual history?
A
Age and nature of 1st sexual experience
Previous sexual experiences: who with, what type, when, no. of people (last 6 months), contraception used
History of sexual abuse
History of sexual diseases
Psychosexual problems: erection, ejaculation, loss of libido, dyspareunia
Cultural beliefs and practices
3
Q
What symptoms should you consider in a patient with a vagina?
A
Discharge Dysuria/frequency Itching/soreness Skin changes Abdo pain Dyspareunia Systemic
4
Q
What symptoms should you consider in a patient with a penis?
A
Pain in testes/scrotum Swellings Itching/soreness Urethral discharge Dysuria Systemic
