Sexual History Flashcards
1
Q
Gender Identity
A
- one’s internal sense of being male, female, neither, both or another gender(s)
- Ex. male, man, boy, woman, female, girl, other
2
Q
Gender Expression
A
- physical manifestations of one’s gender identity through clothing, hairstyle, voice, body shape, etc
- Ex. feminine, masculine, other
3
Q
Sex Assigned at Birth
A
- assignment and classification of people as male, female, intersex, or another sex based on a combination of anatomy, hormones and chromosomes
- Ex. Female, Male, Intersex, other
4
Q
Sexual Orientation
A
- who someone loves and wants to be with (romantic and sexual attraction)
- Ex. bisexual, heterosexual, homosexual, asexual
5
Q
Sexual Behavior
A
- who someone has sex with
- Ex. sexually active with cis-gender males
6
Q
The 5Ps of a Sexual History
A
- Partners: “Are you currently sexually active? Who are your sexual partners?”
- Practices: “What kinds of sex are you having? What parts of your body and your partners body are involved in sex?”
- Past Hx of STIs: “STIs are common. Have you ever had one?”
- Protection from STIs: “What do you do to protect yourself from STIs and HIV?”
- Pregnancy Plans: “Do you have any plans to become pregnant in the next year?”
7
Q
HIV Risk
A
Anal Sex > Vaginal Sex > Oral Sex
8
Q
Need to Test for STIs at all Sites Patient has Sex
A
- Gonorrhea and Chlamydia infections can happen in throat or rectum
- can be missed in urine test
9
Q
Intimate Partner Violence
A
- best time to screen during well visit
- also screen if injury or illness makes you suspect something is going on
- can occur in any type of relationshi
- 1 in 4 women and 1 in 10 men report history of IPV
- screen when patient is clothed and alone
