Sexual history Flashcards
1
Q
Order of hx
A
HPC - sx and sexual health SE Partners PMH DH SH
2
Q
Sexual health SE
A
Discharge - urethral / vaginal / rectal Dysuria Swellings / growths / ulcers Pain - anogenital, pelvic, dyspareunia PV bleeding and menstrual hx
3
Q
Partners
A
Sexual orientation - do you have sex with men, women or both?
Current partners
Sexual contacts in past 3 months
- dates
- male or female
- country born
- condom use
- type of sex - oral, vaginal, anal
4
Q
What are high risk encounters for HIV
A
Men sex with men
Partners - born abroad, MSM, known HIV +ve
Paying/being paid for sex
ChemSex
Needle sharing
Tattoos, piercings, transfusions, medical rx abroad
5
Q
Relevant PMH
A
Previous STIs and tests
HIV and hep B/C status
Vaccination status - including hep B
6
Q
Relevant DH
A
Regular meds and allergies
Contraception use and adherence
Use of PrEP if male
