LM 4.1: Taking a Sexual History Flashcards
what are some barriers that can keep you from addressing a patient’s sexual history or concerns?
- discomfort/embarrassment
- lack of experience; not knowing which words to use
- lack of knowledge
- time constraints
what is a sex?
biological or anatomical characteristics used to assign sex at birth
what is gender?
the socially constructed characteristics of men and women
roles, norms, behaviors, etc. defined by culture
what is gender identity?
an individual’s personal sense of having a particular gender
what is transgender?
gender identity does not match their assigned birth sex
identity or behavior falls outside of stereotypical gender norm
what is sexual orientation?
being emotionally, romantically or sexually attracted to people of a specific gender
what are the 5 P’s?
- partners
- practices
- prior STDs
- protection from STDs
- pregnancy
what further questions would you ask for someone who is not sexual active vs. long term monogamous partner vs. multiple partners/new sex partner?
not sexually active
- any previous partners?
- any questions or concerns?
long term partner
1. pregnancy plans or prevention
- sexual function/satisfaction
- trauma/violence
- other concerns?
multiple partners
1. STI/HIV risk
- prenancy plans or prevention
- sexual function/satisfaction
- trauma/violence
- other concerns
what do you recommend to patients who are not using contraception and are not interested in contraception?
they should be offered prenatal vitamins
if you are not actively avoiding pregnancy, and you are engaged in activity which could result in pregnancy, you should be expecting it
what other conditions can effect sexual function at older ages?
- health conditions: HTN, DM, arthritis
- medications: antihypertensives, antidepressants
- effects of aging: ED, post-menopausal vaginal dynes
