Sexual History Flashcards
1
Q
What would you want to cover in a sexual history?
A
- HPC - Timeframe, Sexual health systems review
- Partners
- Female specific
- PMH
- Drug hx
- Social history
2
Q
What would you ask as part of a sexual health systems review?
A
- Discharge
- Dysuria
- Swellings/growths/ulcers
- Pain - anogenital, pelvic, dysparunia
- PV bleeding
3
Q
What would you ask about partners in a sexual history?
A
Current/recent partners
- Dates
- Male/female
- Condom use
- Contact type
High risk encounters
- Sex with men
- Partners abroad
- Bisexual
- Sex workers
4
Q
What would you want to ask a female as a part of a sexual history?
A
Rest of sexual history, plus:
- Contraception
- Menstrual history
5
Q
What would you want to ask about as part of a menstrual history?
A
MR FLOPPI DICS
- Menopause
- Regularity
- Flow - light/heavy, flooding, clots
- Last menstrual period
- Odd bleeding - Post coital, post menopausal, intermenstrual
- Dysmenorrhoa
- Initiation - menarche
- Cycle - days on, days off, Contraception
- Smear history
6
Q
What would you ask about in the PMH in someone you are taking a sexual history from?
A
- Previous STIs and tests
- HIV and hepatitis B/C status
- Vaccines (hep B)
7
Q
What might you specifically ask about in the drug history as part of a sexual history?
A
- PrEP if male
- Recreational drug use
