Sexual history

Question 1

Why, when what and how to ask about sexuality

what on new slide

Answer 1

Why: Asymptomatic infections, may be relevant but need to prompt to ask; highly but not entirely preventable

When: Sexual health service, smear, fertility; abnormal discharge; social indication; opportunistically; environment

How: Signpost; normalise; acknowledge; permit; confidentiality

Question 2

5 P’s of a sexual history

Answer 2

PAST (history of STI’s, testing, sexual health or functioning problems)
PARTNERS (genders, number, past, present, identity says nothing!)
PREGNANCY (contraception, fertility link between reproductive and sexual health)
PRACTICES ( How they have sex, important!)
PREVENTION (what they use, what when how often)

NB may want to ask about sexual abuse?

Question 3

When signposting, 3 P’s?

Answer 3

Permission
Power
Privacy

Question 4

3 reasons for high HIV in GBM

Answer 4

Anal transmission is more likely
High HIV prevalence already
Dense sexual networks

Question 5

HEEADSSS assessment for children (may be abused?)

Answer 5

House
Education/Employment
Eating
Activities
Drugs
Sexuality
Suicide/Depression
Safety